Wife and I stayed one night here to get away from the busy life of Tokyo and Osaka and this was an absolute treat. The ryokan was peaceful, clean and very relaxing. The staff all greet you upon arrival and your dedicated staff member takes care of everything up until you go into your room. You are then given instructions and are able to ask any outstanding questions.
Our stay included dinner and breakfast which is a must. The course meals were absolutely amazing, and once done, we went to our rooms to use our private bath.
I cannot say enough great things about this place!
The only thing to keep in mind is that getting to the ryokan can be a bit tricky. Once you get to the Kintetsu-Nara station, the office is across the street and clearly says "Mikasa Ryokan". You go in there and ask the shuttle times, which you can go on even if you do not reserve it, though space might be tight. You can also drop off your luggage to roam around Nara, but you need to let them know when you will board the shuttle, so it will go with you to the hotel.
Be aware that the shuttle has LIMITED times it runs, but there is a taxi spot at the train station you can use if the shuttle is not in service.
Overall, we absolutely loved this ryokan and plan to make it a regular stay when in Nara!