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the page title is two words long and doesn't mention 'smith clinic' or 'nebraska'. the description tag is two words long, neither of which is 'smith' or 'nebraska'. the page doesn't even have an <h1> tag on it.
the first mention of the word 'kearney' is halfway down the page. other than the keyword stuffing -- which just gets ignored by the search engines -- you mention 'kearney' the grand total of 2 times in the whole document. the word 'smith' isn't mentioned once. neither is the word 'nebraska'.
you've put all the important words in the images instead, which is a waste of time for SEO.
you can't expect to rank on a phrase if you don't use it on the page.
i'm guessing that the only reason it appears on google is because you've submitted it as a business.
whatever he's paying you for SEO, it's too much.
Content, content, content. You need textual content to do that..
The response I often get is "I don't want all that text on there, no one's going to read that. Put a piture on there" (typo intended.)
The problem then, really is that clients, especially old-school ones who have learned everything they know about advertising in relation to traditional media, have an idea that it's all about presentation. Designers respond to this in kind, creating cool looking web sites with little or no indexability.
The client loves it. The designer loves the check. Then 6 months later, here you are.
To form a strong long term relationship with clients you have to acquire the skill to break this news to them and somehow make them believe it; an effective web page requires text, lots of it, like it or not. Will you let me help you do that or not?
I too am curious about the alt attribute, these are intended for accessibility but since S.E.'s don't read images, they use them. Do they not? All ears here. :-) --> C C
in reference to bing/msn: I've noticed with new sites, it does take them longer to show up, but they appear to be responsive to submissions. I once had one straggle along for 6 months while it was indexed well in other S.E.'s. There **used to be** a link to something like "site not here? contact us." or something like that, and they actually responded.
My guess is their database indexes slower, or their bots crawl slower, or something. "We're Microsoft, we do what we want, when we want." :-)
What if I set some text to color white, make it small, and repeat it in blank spaces a bunch of times
No, no, no, no. This is one of the top "stupid web tricks." :-)
Mainly just adding the <h1> tags to have his clinic name in there.
Good start. If he is not willing to move on any "visible" changes, in case you haven't already, add the following.
Nurse that title tag. Don't waste space on it with the company name, but in the case of **only** the home page, I'm on the fence about this argument. So my compromise, put it at the far right
Widget Services City State related keywords company name
Make these unique to every page, do not boilerplate them across all pages.
Use the meta description, use it well. At least two full sentences, don't keyword stuff, but work them in. If present and indexed, this is what comes up in the short description in SERPS, so it is used, and does need to be readable. Instead of
Untitled
home • about us • contact • blah
You will get
Widget Services City State related keywords company name
Widget services of city, state offers affordable widget services for seniors and young people . . .
The jury's out on the importance of the meta keywords element, it's mostly ignored but put 10-12 relevant keywords in anyway.
For both of these, can't say it enough, like the title element, do not boilerplate them, make sure every one is unique to the page and relevant to the content on the page.
If you can, see if you can convince them to get something small and at the bottom. Being at the bottom, it's nowhere near as beneficial as higher in the source code, but it's better than nothing.
The above is not perfect, without on-page content it will not get you to #1 but it will help.