We were never in the room when the housekeeping was done, but we did think one time during our 9 days that they had changed the top sheet and a couple of the pillowcases. (We made our bed each morning, so we couldn't totally tell if we'd just made the bed really tight that day or if they really had changed out a couple of items.) We didn't ask for it and were only expecting towels, trash removal and disinfecting surfaces.