Environmental Services (Also known as Housekeeping) is contracted through Aramark. The employees on each shift are assigned certain sections, floors, duties, etc. Depending on how many employees are on typically determines when issues are addressed. Even so, visitors, patients, and employees all put in complaints related to overflowing trash can, long response times to spills and bio hazards, and other noticable cleanliness issues.
They know but I believe it depends on staff per floor. If there's one person working discharges and trash or if there might be a new person on that floor, that's when you see things overflow but they get to it. If there's an issue, you can speak to the Unit Sec. or a nurse who can have someone come in.
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