When I got up to my room, I turned down the sheets and there was a dirty, crumbled up napkin between the sheets. It was obvious housekeeping did not change the bedding.
I went to the front desk clerk and told her, she changed my room and gave me an upgrade. I got the feeling from her reaction that this is not the first issue they've had with housekeeping.
In the upgraded room, the floor of the shower was either dirty or stained, I couldn't tell which. I ended up laying a towel under my feet to stand on while I showered.
Front desk clerk was helpful, but I won't be staying here again.