Glossopharyngeal neuralgia treatment in 529 Neurosurgery clinics worldwide

They are true live savers and I can only recommend this hospital to anyone with heart or lung problems, the team is absolutely awesome and everyone is taking good care of you all the time!!!

Not bad

They all staff in the emergency,( was there due to a broken foot) were fantastic. Professional, caring amd kept me informed throughout..

My friend went there and she got frauded with a lot of money. She discussed all the price over call but when she reached there, the prices were completely different. I will not recommend this place to anyone

We would like thank you for best care. And a special thanks for dr Haluk Sirin and MELIKE OZDEMIR . We came from Israel for a trip and and needed and emergency surgery We are so happy that we got to the best place and got the best treatment Thanks a lot Batia and albert

We have been there for my sister’s problem . She was in great pain and she was struggling a lot for a long time . We have paid a great amount of money for the doctor and for the most basic blood tests. Doctor woman was so rude , she did not even look at our face and in the middle of the conversation when my sister was trying to explain the situation about her pain , the Doctor just stood up and left the room .She does not even want to listen to what the patient says. My sister was begging for painkiller medicine . A rude doctor said that she does not want to give painkillers today. Doctor name is Pınar. Treating her patients without respect. After they charged great amount of money , She does not even think about a solution to kill the patient’s pain she did not say anything just left the room and and just give the message to us that ‘if you paid us go to another hospital to find your cure because doctors in this hospital are incompetent and greedy They do not care about your health , they only want your money. Doctors and employees are rude , not knowledgeable and respectless . I do not recommend it at all. If you care about your health do not go there.

Absolute embarrassment for a medicinal center. My sister spent 7 hours in the ER with chest pain, provided doctor with all her records from other physicians. After 1 x-ray they disregarded everything, told her it's "probably" stress and sent her home. Thank you for reconfirming the public opinion in this countries medical standards. You are the heroes this country deserves.

I receivedan excellent care from very friendly and warm staffs from cardiology department.all doctors nurses and hospital staffs are so supportive. From start to end I was pleasantly surprised by the quality of care, warmth and kindness of every person I met. I highly recommend this hospital.

Worst emergency experience ever. Come here with my friend with breath problem. Waited 5 hours until he almost fainted, then they gave him ibuprofen and didn’t try to find real problem. When he decided to leave so unprofessional SOR, the nurse was rude and severely pulled out a dropper with useless saline. Works for parking counter, not people.

If you call them and are lucky enough that your call gets picked up, and you ask the receptionist (in german) if she speaks english, she would in a very harsh tone say "NO" and slam the phone. I think she shouldn't be working in any field where communicating with humans is required let alone humans in distress at a place like a hospital/clinic. Pathetic!

Everyone waits in ER and i was happy to do so. The attending ER doctor was amazing anf really listened despite the chaos. I was admitted to Station 5A and the nurses were lovely. The rest fo teh doctors need to grow empathy and a heart. The hygiene of the Station was filthy and blood from my Roommate was not cleaned up for several days. The Orthodox Jewish female doctor gave me a heavy antidepressant that was touted a "to help me sleep", was totally uninterested and with an air of contempt and later that evening as were the rest of the doctors there, the male nurse tried to steal my phone charging cable thinking i was unconscious from the medicine, that thankfully i vomited. To the red headed trainee nurse, thankyou for looking after me and believing me, your hunch was correct. I have since been diagnosed from a real hospital with Post Vak (Uniklinik Marburg) who laughed at the arrogance and poor attitude in the Asklepios Artztbrief. Everything that was "unaufällig" turned out to be pleural effusions, neurological damage and a blood clot that SHOULD of been discovered easily by Asklepios. SHAME ON YOU.

I was extremely sick with high fever and attendees at the help desk was so rude and even deny to let the doctor see me. Pathetic people with no humanity!!!

amazing, sympathetic and helpful people. did not get mad at me for speaking english and was not a long wait. thank you!!

First something positive: the doctors, especially the anaesthetist, were good. However, during my time on the station following ankle surgery, I was shocked. 1. When i woke up after the surgery I hadn't eaten since the day before (it was around 7pm), I asked a nurse if i could have something to eat and she shouted at me, made me feel like it was a totally unreasonable request - the other patients in the room were shocked and defended me. Finally she brought me some food but was clearly annoyed that i had asked for something so basic. 2. When I realised my period had started during the surgery, I was once again shouted at for asking for help to get a pad (I wasn't allowed to leave my bed to go to the toilet so soon after surgery.) It was humiliating. I was left in those bloody sheets for 4 days 3. I had a very big ankle surgery and was in pain I had never experienced before (including childbirth), the nurse during the night shift straight after the surgery refused to give me anything stronger than Novalgin and then left me for 6 hours with nothing else. She told me to stop ringing the bell because she couldn't help me. I was sweating and shaking with the pain. Pain management continued to be an issue throughout my stay depending on whether the nurse on shift 'believed' my pain or not, I raised this with the doctors several times. 4. I told the staff that my bandages felt too tight and no one listened to me, now 6 weeks later, i still have nerve pain, which needs pain medication and skin necrosis from having extreme pressure on my foot for 2 days. 5. One evening a nurse filled every patients' thrombosis syringe half with air, thank goodness the other nurse on shift realised before she injected 16 patients with air, she was in disbelief. This added to the general feeling of not being safe on the ward of this hospital. 6. Nurses were exhausted and burned out, 2 nurses for 16 patients is clearly not enough. 7. When i wanted to come back after 6 weeks to discuss the surgery and recovery with the surgeon I had to beg for an appointment on the phone to a very rude receptionist (the same receptionist who a few weeks before told me there is no plaster cast in the hospital, can this be the case in a hospital with an orthopedic department and an emergency room?!). After care is a simple responsibility after major surgery, especially when there are complications such as crippling nerve pain that my general orthopedic doctor couldn't seem to explain. To say I was shocked is an understatement, I feel traumatised by this experience. Sometimes I have nightmares about being back on that ward crying in pain with no one helping me. The experience was inhumane and I deeply regret choosing this hospital. I have never written a review like this but i feel a responsibility to warn people. Once again I will say the doctors were good, but you rarely see them. I particularly appreciated the anaesthetist who showed compassion and diligence but that level of care should be the rule, not the exception.

I was at the clinic with my wife and every single nurse, doctor, security and receptionist that talked to me were patient, kind and nice. Although I don't speak German, everyone was willing to explain things in English. Special thanks to a nurse and a doctor both called Julius who were extremely kind to us and treated us like real human beings. I'm full of gratitude to everyone in this hospital. Thank you 🙏🏻

This is the most efficient Hospital I have ever been in. I have travelled extensively in my life, and have been in Hospitals in many other countries. It's also the largest Hospital by far. The staff are friendly, the Doctors are superb. Highly recommended.

I was there because I had problems with my knee the nurses were really nice but one of the nurses really said to me if I just want pills against the pain and then just go home I said I really wanted to see a doctor and waited 4 hours then I got called and waited another hour I got an X-Ray and they just put on an bandage and let me go later I visited another hospital and they gave me a cast then it healed but again the Staff was really nice to me

I’d give 0 stars if I could. Unfriendly nurses. Incompetent doctors. I took my 80 y/o father to the ER, with high blood pressure and a heart failure. A very rude doctor told us repeatedly, that there was nothing he could do. And he actually didn’t do anything!!! He just kept on telling us, to go to his primary doctor.

Worst experience I ever had in a hospital in Germany. With an appointment I had to wait nearly 5h to be seen by the doctor. Never coming back here again!

This is the best hospital, with the best MS Ambulanz! The team was very professional, reliable and communicated fluent English with me! The MS-Nurse, Frau Christine Timm, is very caring, she talks to me in a calm and grounded manner, this made my anxiethy less present during my stays in the hospital! Salute to every staff member of the hospital!🫡

Got immediate care, very friendly and helpful nurses, caring doctor, very pleasant rooms, helped me a lot!

Unfortunately, the attitudes of almost all the staff during a recent outpatient trip to emergency were extremely regrettable. I was initially refused any painkiller for hours, despite having a broken bone. I was made to wait 7 hours, more than all the other people who had come in, not all of whom were acute cases. And I was not given a medical report on leaving, which meant I had to make a separate trip back to the hospital to insist on receiving it. I attempted to politely follow this up through normal channels but the response was excessively defensive and factually incorrect. No apology, no points acknowledged. Very disappointing indeed. All I can say is that 80-90% of the staff there were unpleasant, seemed to hate their jobs and made a difficult situation for me and others like me far worse.

Supportive, very friendly staff and fast help. Large site/area needs time to orientate and find your way. Treatment was top and newest available.

Non-professionals, there is no good communication with the patient! If you have a serious problem, it s better to look for another hospital! It takes a very long time for them to respond, and when they do, they are never clear. It seems like they want to get rid of you or respond in a way that makes you give up and look for other doctors or hospitals. Be clearer that you are medical professionals! For station mund und kiefer.

A well-organized hospital, with friendly nursing and service staff. The medical care was great and everything was explained well to me and my questions were answered. The food was very good and either kept well chilled or well hot. I can happily recommend this hospital.

Worst experience ever. Had glass in my foot the doctor spent 5 hours dealing with me ,she cut my foot so badly and she could not finish the job. In parallel people kept being distracted the whole time and this work requires a bit of silence and concentration. The hospital is cold, there is wifi but does not work and my friend waited 5 hours with me and due to the fact it is unbearable temperature she got t a cold too. Also the doctor sent me with a note saying I decided to leave and she did not finish the job, no one was skilled to help her. I was not going to stay so she could continue to cut my foot with a scalpel and not find the glass. You can see the bad job.

6 hours waiting for nothing . All are slow work and mot friendly!!! Never anymore in this hospital never !!!! 👎🏼👎🏼👎🏼👎🏼

Came with toothpain on sunday,didnt wait too long cca 2 hours, doctor and nurse were very kind,spoke English,helped me with pain,so im happy i came there,just parking is pretty expensive.

The emergency department is just a disaster. Organisational chaos. As a result- hours in a waiting line.

I really hope Google will someday let me give negative score to this place. I had to wait 2 months for an appointment, only to come here and sit in the waiting room for 1.5 hours (and the appointment is for a 2 minute consultation). The level of inefficiency and incompetence is just astonishing

I have been to this hospital twice, and both times I got disappointed. First time I needed a paper from the doctor that I was sick. She wrote incorrect information on the paper, and I only noticed it when I was home. My documents were not accepted by my uni as a result. Then, today I went to the Blutbank to donate my blood. I have a rare blood type, and I already had experience donating. I am also completely healthy and have enough muscle mass to donate without any conscequences for my own health. First, when they took a small sample of my blood from the ear, they put a plaster straight onto my hair. It was very hard to get it out of my hair later, and, mind you, very hurtful. Then, I had a talk with a very incompetent doctor/nurse. I speak english better than german, and at one point I asked her if she spoke any english. By the way, I do speak german, I just understand english better. So, I was told: "We speak german here, if you cant speak our language then there will be no donation." Excuse me?? I didn't know that the people I wanted to donate to have such a LUXURY to only have blood from people speaking fluent german. You would refuse half a liter of healthy blood on such a basis? So, in the end I did not donate, I got told to "come tomorrow". Honestly I don't think I will come here ever again. In less than 30 minutes all my will to help people got destroyed. I will make sure to avoid this hospital at all costs, and you should too.

Very long waiting times and you get send from one place to another. Some of the places have no real waiting areas. Once I did get seen the nurse was very friendly and helpul though.

Most racist doorkeeper ever :(

I was transferred back to the emergency department where I waited for hours in excruciating pain to be seen by J. Straub and Dr. med T. Mederer for less than 5 minutes each completely ignoring my recent scans and the notes from the referring hospital. One of these supposed medical professionals told me they have a program that could help me but that I couldn’t be treated any further because I only spoke English. They administered Iv pain medicine that made me feel worse and pushed me into the waiting area until my family could pick me up. I am requesting a formal response from the hospital administration and the head of Neurochirurgie Prof. Dr. N. O. Schmidt. I will also file a complaint against the hospital through Tricare.

US military here. I would definitely not recommend this hospital. Poor communication, rude staff (case management). Make sure they can 100% confirm your appointment on the first day of your visit (at least on your pre-op appointment)! Make sure your surgery is not "selective", otherwise they would schedule you and let you know 24 hours prior that your surgery was rescheduled for in another 6 weeks (almost like on aspace-available basis). This happened to me. If you are an active duty military member feel free to reach out to me. Unless you wanna be your commander's favorite and put in and cancel your convalescent leave as if you're a civilian... Also talk to your local Tricare office about this hospital.

I was extremely honoured to have been at Regensburg University Hospital. They outmost trained professional students and their highly educated doctors. Their program is unmatched and superb. Simply the best!

Completely rude and incompetent stuff , I went once to emergency , as I am first time pregnant and I had huge bleeding in the start of my pregnancy , the women on the desk she saw how terrified I am but kept saying me it’s better to wait and go to see your doctor (my doctor was closed that day ) then with really rude attitude she finally accept as . PS: the emergency was totally empty only one women was there waiting Today I called again to take appointment for giving birth (they remind me that I should not give birth here ) the first guy who picked my call he just transferred the call without saying any word , no hallo even , the second women since the start of my call she kept saying in German I cannot understand I cannot understand! And I just said hello , my name is hana nothing else ( in German ) I said sorry my German is not so good and I repeated my sentence and she said again I cannot understand call again and just cut my call !! Ok I am not a native German speaker and maybe I have accent but that’s totally normal and I know that I am talking correct German at least make some effort and talk correct to people !!! Have some manners !!

The staff at the primary care clinic was so friendly and professional, but once I got to the oncology department the staff were bigoted unprofessional and abusive.

My wife had a very strong headache. With "very strong headache" I mean - she couldn't talk, walk normaly. At the reception she answered a lot of questions. We were by family doctor. She had already the referral slip for MRI. They took blood and gave her something that had a little helped. They denied to make the MRI because of missing plausible Reason. They didn't check even the blood pressure. All my wife saw in this Emergency was only indifference and loss of care. How we must be sure that we will live a long healthy life, when the persons who are paid for that don't take reasonable steps to prevent a Death? Shame on german Health System. I recommend to search for another Emergency Point in the City. At Uniklinikum you have a very big chance to die. And they will say - "we didn't know" or another stupid argument. This happened on 28.10.2022. We came at 17:00 and left at 22:00. Besides - they found nothing.

Two weeks ago I got a fixed appointment to see a specialist. When I showed up on time for the appointment, we were told that no doctor would be there today and the appointment would not take place! I was kept there for 4 hours with unsuitable staff and in the end I was just given a piece of paper with a different phone number so that I can try to arrange a next appointment. I was present with my mother in a wheelchair, who is chronically ill and in severe pain. The emergency room didn't help us either! Thank you, I hope you stay healthy!!

I had vomited 4 times, was in sever pain and fever. I went to the emergency for some assistance at 6am in the morning, the doctor and the receptionist refused to take me in and instead said you won’t die if you dont eat for another 2 days. Extremely rude and racist behavior. Never EVER anybody with a person of color should go there. Don’t deserve even 1 star.

Extremely rude attitude even at the reception. Then we visited the eye clinic and there the "head" of the department was arrogant, rude, mean and disturbingly angry. I would not recommend EVER! We were waiting for an examination of a child, but it never happened.

Extremely inflexible and unhelpful.

👌🏽👌🏽👌🏽

If I could give a no star I would. The worst experience me and my family had in this hospital. My dad was put into the ICU-intensive care unit. U would think each patient is in good hands Once handed over to any hospital but I wouldn’t say in this case. We waited for hours and hours until someone finally came back to tell us even what was going on..it was a mess and a poor communication even for a German citizenship like me. Unclear what he even had after so many hours waiting in the waiting area. Once my dad was “stabilized” we were able to enter. 2 nurses were attending him laughing and joking about some ridiculous joke they were talking to each other. (Keep in mind my dad was on the machine with pipes unconscious) and we as a family stood there in shock! A doctor in charge came along fiddling with the oxygen machine since it kept making noises. He just casually went oh get another cable from the Keller or any fake Chinese one will do. Well it hadn’t to do with any cables in the end. IT WAS BECAUSE IT WASN'T EVEN CONNECTED TO ANYTHING!! Starting with this and throughout the night readers can guess how it ended up with my dad! To the lady nurse who was a visitor that day from the neighboring hospital we thank you for giving us the time you gave us explaining us that dad had good chances of survival and giving us hope that our dad will come home again.

I want to give Zero star. There is not a single thing good in this hospital. I broke my foot (multiple hairline fractures) on 17 July. I went to the emergency department (Notfall) and waited almost 6-7 hours (there were hardly 5-6 patients). The doctor did only the XRAY and said no bone is broken. Please take Ibuprofen and sent me back home with an appointment to see me again after 5 days. On Monday i went again, the pain was unbearable. I told the doctor and they did CT scan (waiting time was again 4-5 hours). She told me later that my bones are broken and they put Gips on my foot. After every two weeks, i came for a basic check-up with an appointment but still had to wait 4-6 hours. Today, 04 Sept, i had an appointment at 11:00. I came on-time and still waiting (it’s been more than 4Hrs+). Is this how a developed country’s hospital should be? Why they are unable to manage a small amount of patients? There are hardly 20 patients. I’m really irritated, disappointed and angry on the public health care system of Germany. Better to get treated from a developing nation, where doctors are more competent and you get better service and treatment.

The worker here are so lovely and caring…despite I don’t understand German but I was loved

I made an appointment on Friday at 11:15 . I come to the appointment and they say they don't have it. They send me to the emergency room instead, where i wait for 3 hours. You sit there, without any clarity, afraid to going to the toilet so not to miss your precious turn, getting hungry and anxious, watching all your day plans crashing apart. Story #2: I've made an appointment, at "Notaufnahme", the doc told me "make it early", so I scheduled for 8:30. I spend 130eur on taxi to reach the Klinik from Clausthal (the only way to reach at this time). They have a complete haos (bad weather, understandable). Aftet 6h of waiting, it turned out that THEY LOST MY FILE. (and I asked about my file at the 6h of waiting and received then a rude "you have to wait", instead of them checking if my file was present). In total, my waiting time: 8;30-20:30, that is 12 (TWELVE) hours. From the nurses/admin I received no apologies nor kind words nor anything of this kind. The doctor was the only person who got into situation, and applied good "comm skills", kudos to him. So it happened twice: first, they lost my appointment and told me they didn't have it. (story #1). Second, they lost my documents (story #2). Story#3: that is a normal interaction: had an apntmt at Notaufnahme at 8:45, waited 1h, got invited, then doc said "surgeon is busy wait for more 30min, go have a tee if you want", came back after 30min, got "serviced". Thanks to the doc for clarity ("go have tee for 30min"). That is a positive interaction: only 1h30min waiting in total, everything was clear. Added one ⭐ (now one, prev 0zero). On the negative side: turned out my Monday visit with 12h waiting was absolutely useless. Story#4: so they gave me a receipt for physiotherapy, but put the WRONG name on it. I ve an appointments with the physio, waited for three weeks, attended 3 sessions, and the physio now cancelled all the other appointments bcs of the wrong name on that receipt that they gave me. Now I need to get another physio prescription from UniKlinik, then wait another three weeks (?) for new appointments with physio. And all this while doctors are urging me "you really need therapy, or you have big troubles with your joint". Lesson: always check the documents they give you, they make mistakes.

I spent 6 days in the urology ward. Both the doctors and all the nursing staff were always very friendly, helpful and made a competent impression. They took their time with the patients and always had an open ear. I have nothing negative to report. 👍

Absolutely .... No problem, nobody likes going to the hospital, but the people here are very friendly and helpful. It doesn't matter whether you're registering or on the ward. Medical ? I can't allow myself any judgement. I, for me (blood cancer) am very very satisfied. I feel looked after and cared for by professionals all around me. The nursing staff also has a professional knowledge that inspires. A very big thank you to the Department of Internal Affairs ab and cd. And to the kitchen ;-) I thought the food was ok. PS: very tasty roast beef. Thanks to

Worst experience.. I waited almost an hour. They simply sent me back because it’s not emergency. As a doctor., their minimum responsibilities to treat the patient. I have been suffering from itching from past 2months. Same thing I told them as I’m not getting Termin with Dermatologist. She simply said we can’t treat you. What kind of hospital is this , the god knows.

Ok

This review is well overdue. I came to this private clinic a few times and I had a great experience each time. I lived overseas for some time and I am used to high end medical services. Before I met Dr.Deutsch, I sworn I will never see a gynecologist in Romania ever again after a bad experience in a private clinic in Bucharest. I wanted to take this time to give a shout-out to Dr.Deutsch Horatiu! Needless to say I was pleasantly surprised after my first appointment and will be a returning patient. He is not only very kind and compassionate, he is also very patient and understanding. I no longer live in Sibiu buy will also come back for my anual here. Keep up the good work and thank you for your help and guidance.

Bunica mea o venit de 2 ori pentru nimic. Rdv a fost fixat și Dr. nu era prezent. Bunica de 80 de ani! My grandmother came twice, for nothing!!! She had an appointment but the doctor "wasn't there". Nobody called her to cancel. It's a shame!! My grandmother is 80 years old, they have no consideration. Boycott it!

Kindly sir give me whatsup number, i want to come luxembourg for PG from Pakistan How i will do apply this hospital for PG job. kindly sir please give me information about the pg general surgery in this hospital so I'm waiting for your response???

Waited three hours for them to do nothing, they prescribed me a medicine that is not suitable for my disease, with a large list of side effects, which must be taken with another medicine ( they didn’t tell me this). They did not cure me, but made me worse.

It’s not bad, but the service is also not something to write home back about. Paperwork took quite a while, but I have to note it was my first time there. Personnel was nice to me, even though I don’t speak a word French. Also notified me of an approximate bill for the all procedures. Maybe it depends on a type of your emergency, a doctor who’s treating you or they just improved, but for me it was not so bad at all!

King Abdullah University Hospital (KAUH) is a pioneering medical institution located in Irbid, Jordan. It stands as a symbol of advanced healthcare, cutting-edge medical research, and comprehensive patient care. With a commitment to excellence, KAUH plays a pivotal role in shaping the medical landscape of the region. State-of-the-Art Medical Care: KAUH is renowned for offering state-of-the-art medical services across a wide range of specialties. Its exceptional medical staff, advanced facilities, and sophisticated equipment ensure that patients receive the highest standard of care. Medical Research Hub: KAUH is not only a healthcare provider but also a hub for medical research and innovation. Its research centers and collaborations contribute to advancements in medical science, paving the way for improved treatment modalities and patient outcomes. Multidisciplinary Expertise: The hospital's team of skilled physicians, nurses, specialists, and researchers collaborate across various disciplines to provide comprehensive and personalized care. This multidisciplinary approach ensures that patients receive holistic treatment tailored to their specific needs. Quality Patient Experience: KAUH places a strong emphasis on patient experience. From admission to recovery, the hospital is committed to providing a compassionate and supportive environment that eases patients' journeys and ensures their comfort. Global Recognition: KAUH's commitment to excellence has earned it recognition on an international level. Its high standards of medical care, research contributions, and affiliations with esteemed institutions position it as a global healthcare leader. Community Engagement: KAUH is deeply rooted in its community. Through health awareness campaigns, educational programs, and community outreach, the hospital actively contributes to promoting health and well-being in the region. Teaching and Training: As a university hospital, KAUH plays a crucial role in training the next generation of medical professionals. Medical students and residents gain valuable hands-on experience under the guidance of experienced practitioners. Technological Advancements: KAUH is at the forefront of adopting the latest medical technologies and techniques. This commitment to innovation ensures that patients have access to cutting-edge treatments and interventions. Emergency Care: KAUH's emergency department operates around the clock, providing critical care for urgent medical situations. Its prompt and skilled response ensures that patients receive timely and efficient treatment. In summary, King Abdullah University Hospital stands as a beacon of advanced medical care and research. For those seeking top-tier healthcare, innovative medical solutions, and a commitment to patient well-being, KAUH is an institution that comes highly recommended. It's a cornerstone of healthcare excellence that leaves a lasting impact on patients, medical professionals, and the broader community.

My dad had died yesterday due to pure negligence. My dad was awake and alive but very exhausted. His blood was 6.5. What killed him was the 8 hours of waiting for the doctor to arrive and make a decision. When that happened, it was too late, and I lost my dad, for ever. I was told that the hospital is broke, and don’t pay salaries. I highly recommend everyone to NOT consider any hospital in Irbid.

The hospital is a large and major medical edifice in northern Jordan, serving a large segment of citizens, providing comprehensive medical services of high quality. There is no doubt that the large number of auditors affects the quality of service administratively. Large parking is available. There is more than one prayer room, but more attention is needed in the cleanliness inside the prayer room. The WC public health facilities are unfortunately not clean, and most of the reason is the misuse of patients and companions, and some of them smoke in them!! And the facilities do not have toilet paper! However, there must be a comprehensive program for the cleanliness of these facilities by the cleaning authority.