This hotel was very clean. The suite we rented was the cleanest hotel room/suite I've ever stayed in. Staff was very nice, friendly and helpful. Housekeeping personnel super nice and they have a clean breakfast bar with delicious free breakfast. I gave 4 stars to "area around the property" because there was a person sleeping on the grass one morning on the main road about 1/10th of a mile from the hotel exit (not on the hotel grounds). However, the streets and areas around were clean and NO trash along the fences. We truly enjoyed staying at the Residence Inn by Marriott Houston West University. My husband has to return for medical treatment in a couple of weeks and we will stay at the same place. Shuttle service is available to and back from the MD Anderson Medical Center.