EvolouEvolouMarketing Audit Report
Built on live data from Google, DataForSEO & PageSpeed Insights50+ med spa audits across Florida7-module analysis
Local SEO Audit

Sanctuary Medical

sanctuarymedical.com·Boca Raton, FL·April 12, 2026
53/100Grade: D
Map Pack Visibility0/100
Google Business Profile75/100
Keyword Rankings80/100
Technical Health30/100
Review Reputation78/100
Citation Health93/100
Executive Summary

Sanctuary Medical has 640 reviews and a 4.9-star rating, ranking on page 1 for 4 of 5 keywords. However, your clinic doesn’t appear in Google Maps for any of the keywords we checked. Adding an online booking URL and optimizing your Google Business Profile would have the fastest impact.

Revenue Opportunity
$7,500-$22,500/month
Not in map pack for 5 keywords
Map pack gets ~42% of clicks for local searches. Ranking in the 3-pack for even 1 keyword could add 5-15 new patients/month.

Map Pack Visibility

Where you appear when patients search Google Maps

Search TermYour Position#1 Ranking ClinicRatingReviews
med spa Boca Raton Not foundIcon MD Medical Spa + Laser Center Boca Raton4.9504
botox Boca Raton Not foundIcon MD Medical Spa + Laser Center Boca Raton4.9504
laser hair removal Boca Raton Not foundIcon MD Medical Spa + Laser Center Boca Raton4.9504
skin care clinic Boca Raton Not foundSkinSol Dermatology & Aesthetics + Wound Care Center Boca Raton5168
hormone therapy Boca Raton Not foundNuLife Institute Boca Raton534
Competitive Landscape

4Ever Young Med Spa & Wellness Center - Boca Raton dominates your market — they appear in the map pack for all 5 keywords we checked. They also have 1,533 reviews vs your 640 — a gap that influences both rankings and patient trust.

4Ever Young Med Spa & Wellness Center - Boca Raton (5/5 keywords)Icon MD Medical Spa + Laser Center Boca Raton (4/5 keywords)Everybody Is Beautiful Med Spa (3/5 keywords)Boca Raton Cosmetic Dermatology (3/5 keywords)Previous business name COSMETICA MED SPA - Boca Raton - Medical Spa - Botox - Lip Filler - Facials - Laser Hair (2/5 keywords)

Keyword Rankings

What patients are searching for — and whether they find you

KeywordMonthly SearchesCPCYour Position
med spa Boca Raton880$6.14#27
botox Boca Raton< 10#21
laser hair removal Boca Raton480$16.69#30
skin care clinic Boca Raton< 10#32
hormone therapy Boca Raton< 10Not ranking
Monthly Search Volume by Keyword
Ranking
Not ranking
1,360
Total monthly searches
1 keyword
Not ranking (volume data unavailable)
4/5
Keywords ranking

Google Business Profile

How complete and optimized your GBP listing is

1

Business hours not set on GBP

2

No online booking URL set on GBP

3

Review count (640) is significantly below competitor average (1101)

4

Photo count (107) is well below competitor average (442)

Review Count: You vs Competitors
How You Compare to Top Competitors
ClinicRatingReviewsPhotosClaimedBooking
Sanctuary Medical (You)4.9640107
4Ever Young Med Spa & Wellness Center - Boca Raton4.91,533167
Peace Love Med Aesthetic Rejuvenation51,5101224
Previous business name COSMETICA MED SPA - Boca Raton - Medical Spa - Botox - Lip Filler - Facials - Laser Hair4.81,285563
Ideal Image Boca Raton4.667619
Icon MD Medical Spa + Laser Center Boca Raton4.9504239

Review Reputation

How your review presence compares to competitors

640
Total Reviews
4.9
Average Rating
35%
Response Rate
+16
Reviews (90 days)
Review Reputation: You vs Competitors
BusinessReviewsRatingResponse Rate
Sanctuary Medical (You)6404.935%
SkinSol Dermatology & Aesthetics + Wound Care Center Boca Raton168560%
Boca Raton Cosmetic Dermatology6350%
4Ever Young Med Spa & Wellness Center - Boca Raton1,5334.995%
1Review response rate is 35.0% — less than half of reviews are getting a reply
2Average response time is 196 hours — too slow

Citation Health

Your presence across 11 major directories

9/11
Directories Found
93%
Citation Score
0
NAP Issues
Directory Presence
Google Business Profile
critical
Yelp
high
Facebook
high
BBB
high
Healthgrades
high
RealSelf
medium
Zocdoc
medium
Nextdoor
medium
Yellow Pages
low
Bing Places
low
MapQuest
low

Technical Health

Site speed, schema markup, and SEO fundamentals

Mobile
34/100
Performance
78/100
Accessibility
73/100
Best Practices
92/100
SEO
Desktop
41/100
Performance
92/100
SEO
LCP
58.0s
Largest Contentful Paint
CLS
0.000
Cumulative Layout Shift
FCP
11.4s
First Contentful Paint
TTI
68.8s
Time to Interactive
Schema Markup
LocalBusinessMedicalBusinessFAQPageServicePhysicianOrganization
1

Mobile PageSpeed score is 34/100 — below 50 threshold

2

LCP is 58.0s — should be under 2.5s for good Core Web Vitals

3

No schema markup (JSON-LD) detected on the page

4

Missing recommended schema types: LocalBusiness, MedicalBusiness, FAQPage, Service, Physician, Organization

5

2 H1 tags found — should be exactly 1

What You're Doing Right

The strengths this audit uncovered — build on these

4.9-star rating with 640 reviews
This is exceptional — you’re in the top tier for trust signals in your market.
Ranking for 4 of 5 target keywords
You have organic visibility — patients are finding you through Google search.
16 new reviews in the last 90 days
Healthy review velocity — fresh reviews signal to Google that your business is active.
Listed on 9 of 11 major directories
Good citation presence — this helps Google verify your business is legitimate.

Priority Issues

The most impactful things to fix right now

1

Business hours not set on GBP

2

No online booking URL set on GBP

3

Review count (640) is significantly below competitor average (1101)

4

Photo count (107) is well below competitor average (442)

5

Mobile PageSpeed score is 34/100 — below 50 threshold

6

LCP is 58.0s — should be under 2.5s for good Core Web Vitals

7

No schema markup (JSON-LD) detected on the page

What This Means for Sanctuary Medical

In plain English — what's broken, how to fix it, and what you'll gain

Patients can’t find you on Google Maps

The problem: When someone in Boca Raton searches for services you offer, your clinic doesn't appear in the Google Maps results (the map section at the top of Google). Right now, 4Ever Young Med Spa & Wellness Center - Boca Raton is showing up instead of you — across 5 different search terms.

The fix: Optimize your Google Business Profile — add more photos, post weekly updates, respond to all reviews, and ensure your categories match what patients are searching for. This tells Google you're an active, relevant business.

The outcome: The Google Maps 3-pack gets roughly 42% of all clicks for local searches. Getting into that top 3 for even one more keyword could bring in 5-15 new patient inquiries per month — without spending a dollar on ads.

You’re not ranking for 1 of 5 target keywords

The problem: You're ranking for 4 keywords on page 2 (positions #27, #21, #30, #32). Less than 1% of searchers click past page 1 — so these rankings are effectively invisible despite being close.

The fix: Create dedicated pages on your website for each service you offer, optimized for what patients actually search. For example, a page specifically about “med spa Boca Raton” with clear information about what you offer, pricing, and how to book.

The outcome: Moving from page 2 to page 1 for even one keyword can increase click-through rates by 10-30x. For a local med spa, that typically translates to 3-8 additional patient inquiries per month per keyword.

Your website is too slow — patients leave before it loads

The problem: Your website scores 34/100 on Google's speed test (mobile). Your main content takes 58.0 seconds to appear (Google recommends under 2.5 seconds). 53% of visitors abandon a site that takes more than 3 seconds to load.

The fix: Optimize images, remove unnecessary scripts, and improve server response time. These are standard technical fixes that any web developer can implement in a few days.

The outcome: A faster website means better Google rankings, fewer visitors leaving, and more patients completing bookings. Sites that improve from poor to good speed scores typically see a 15-25% increase in conversions.

Your Google Business Profile has gaps your competitors don’t

The problem: Business hours not set on GBP. No online booking URL set on GBP. Your competitors have more complete profiles — more photos, more frequent posts, and more detailed service information. Google favors businesses with complete, active profiles.

The fix: Add at least 25+ high-quality photos (interior, team, services), post updates weekly, respond to every review within 24 hours, and add all relevant business categories and service descriptions.

The outcome: Businesses with complete Google profiles get 7x more clicks than those with incomplete ones. This is the single easiest fix with the highest return — it costs nothing but time.

Google doesn't know you're a medical business

The problem: Your website is missing structured data (schema markup) that tells Google exactly what your business is, what services you offer, and where you're located. Without this, Google has to guess — and it often guesses wrong. Your competitors who have this markup get richer search results with star ratings, service lists, and direct booking links.

The fix: Add MedicalBusiness and LocalBusiness schema markup to your website, along with Service schema for each treatment you offer and FAQPage schema for common patient questions. This is invisible to visitors but critical for Google.

The outcome: Websites with proper schema markup see up to 30% higher click-through rates from search results. Rich snippets with star ratings and service details make your listing stand out against competitors without them.

Most of your Google reviews go unanswered

The problem: Only 35% of your Google reviews have a response from you. When you do respond, it takes an average of 8 days. Google uses review responses as a ranking signal — businesses that actively engage with reviews rank higher in local results. Potential patients also read your responses to judge how you treat clients. Your top competitors are responding to reviews at a higher rate than you.

The fix: Respond to every Google review within 24 hours — both positive and negative. Use personalized responses that mention specific details from the review (not copy-paste templates). Set up mobile notifications so no review goes unanswered.

The outcome: Businesses that respond to reviews are 1.7x more likely to be seen as trustworthy by potential patients. A 90%+ response rate within 24 hours signals to both Google and patients that you're an active, engaged business.

The bottom line

Sanctuary Medical has the fundamentals — 640 reviews, a 4.9-star rating, and an established presence in Boca Raton. But the digital marketing infrastructure isn't keeping up. The issues above aren't about your service quality — they're about whether patients can find you online. Fix these, and the patients will follow.

Your Action Plan

Prioritized by effort and impact — start at the top

1
Add online booking URL to your Google Business Profile
5 minutesHigh impact
2
Set business hours on your Google Business Profile
5 minutesHigh impact
3
Respond to all unanswered Google reviews (current response rate: 35%)
1-2 hoursHigh impact
4
Add MedicalBusiness and LocalBusiness schema markup to your website
1-2 hoursHigh impact
5
Fix page load speed — main content takes 58.0s to appear (should be under 2.5s)
2-5 hoursHigh impact
6
Create dedicated service pages targeting: hormone therapy Boca Raton
1-2 daysHigh impact
7
Improve map pack visibility — missing from top 3 for 5 keywords
OngoingHigh impact
8
Fix heading structure — 2 H1 tags (should be exactly 1)
30 minutesMedium impact
Implementation Package

Want us to fix everything in this report?

We'll implement every fix identified in this audit — Google Business Profile optimization, website technical fixes, schema markup, and content creation. Flat fee, no surprises.

What's included
  • GBP optimization (photos, hours, categories)
  • On-page SEO (titles, metas, headings, alt text)
  • Schema markup (LocalBusiness + Medical)
  • Core Web Vitals & speed improvements
  • Citation cleanup across 60+ directories
  • Competitor gap analysis & keyword strategy
  • Service pages for high-value keywords
  • Map Pack ranking & local visibility strategy
  • 100% Satisfaction Guarantee — If we don't implement every fix in this report, you don't pay. Simple as that.

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