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acrmc.com website review

Visit site (opens in a new tab)Reviewed 20 October 202637 issues · 104 checks

This review found 37 issues worth fixing on acrmc.com, 12 of them high impact, across 104 checks. The most urgent: render-blocking requests. Your full playbook turns these into prioritised fixes alongside reviews, competitors and channels.

  1. Homepage
  2. Phone render
  3. Links and pages
  4. Google PageSpeed

Google PageSpeed Insights (opens in a new tab), mobile

Real-visitor load time (LCP)75th percentile, phones
2.7 s1.8 sMay 2Oct 171.9 s
Show as table
DateReal-visitor load time (LCP)
May 2, 20262.6 s
May 9, 20262.4 s
May 16, 20262.3 s
May 23, 20262.3 s
May 30, 20262.2 s
Jun 6, 20262.2 s
Jun 13, 20262.2 s
Jun 20, 20262.1 s
Jun 27, 20262.1 s
Jul 4, 20262.2 s
Jul 11, 20262.3 s
Jul 18, 20262.3 s
Jul 25, 20262.3 s
Aug 1, 20262.4 s
Aug 8, 20262.3 s
Aug 15, 20262.2 s
Aug 22, 20262.2 s
Aug 29, 20262.1 s
Sep 5, 20262.1 s
Sep 12, 20262.0 s
Sep 19, 20262.0 s
Sep 26, 20261.9 s
Oct 3, 20261.9 s
Oct 10, 20262.0 s
Oct 17, 20261.9 s
Real-visitor tap response (INP)75th percentile, phones
107 ms89 msMay 2Oct 1791 ms
Show as table
DateReal-visitor tap response (INP)
May 2, 2026103 ms
May 9, 2026102 ms
May 16, 2026101 ms
May 23, 202696 ms
May 30, 202694 ms
Jun 6, 202696 ms
Jun 13, 202695 ms
Jun 20, 202695 ms
Jun 27, 202695 ms
Jul 4, 202695 ms
Jul 11, 202695 ms
Jul 18, 202696 ms
Jul 25, 202696 ms
Aug 1, 2026101 ms
Aug 8, 2026102 ms
Aug 15, 2026102 ms
Aug 22, 2026105 ms
Aug 29, 2026103 ms
Sep 5, 2026105 ms
Sep 12, 2026104 ms
Sep 19, 202696 ms
Sep 26, 202694 ms
Oct 3, 202693 ms
Oct 10, 202692 ms
Oct 17, 202691 ms

Chrome UX Report (opens in a new tab): real Chrome visitors over rolling 28-day periods.

One score from every part of this review. How it works

Live view · interaction off

Speed

8 to fix57
  • Render-blocking requests

    4.8 s

    54 files block the first paint until they finish downloading. Deferring or inlining them could save about 4.8 s.

  • Use efficient cache lifetimes

    1.4 s · 402 KiB

    96 files are served with short cache lifetimes, so returning visitors download them again (402 KiB).

  • Reduce unused CSS

    1.2 s · 206 KiB

    About 206 KiB of CSS is downloaded but never applied on this page. Google estimates it would make the page about 1.2 s faster on a phone.

  • Mobile performance score: 57

    57/100

    Your mobile performance score is 57 (desktop: 79). Pages that score under 90 lose visitors before the first paint.

  • Reduce unused JavaScript

    300 ms · 397 KiB

    About 397 KiB of JavaScript is downloaded but never used on this page. Google estimates it would make the page about 300 ms faster on a phone.

  • Google Tag Manager adds 456 ms

    456 ms

    Google Tag Manager costs a phone 456 ms of main-thread work and 598 KiB of downloads while your page loads. Loading it after the page is usable, or only on the pages that need it, takes that off the critical path.

  • Improve image delivery

    450 ms · 54 KiB

    3 images could be 54 KiB smaller with modern formats (WebP or AVIF) and sizes that fit a phone screen. Google estimates it would make the page about 450 ms faster on a phone.

  • Font display

    350 ms

    Web fonts hide text while they load. Setting font-display: swap shows text immediately (about 350 ms).

  • 3 third-party services on the page

    3 third-party services load with your homepage (Google Tag Manager, Google Fonts and Google Analytics), adding 776 KiB and 456 ms of main-thread time.

  • 7 long tasks on the main thread

    7 long tasks block the main thread while loading, the longest for 184 ms. During a long task the page ignores taps.

  • Minify JavaScript

    23 KiB

    23 KiB could be saved by minifying JavaScript.

  • Chained critical requests

    Critical files load one after another instead of in parallel (3 chains). Preconnecting to key origins and preloading the hero image shortens the chain.

  • Forced reflow

    Scripts make the browser recalculate the layout repeatedly while the page loads, which wastes processor time on phones.

2 checks passed
  • Main-thread work: 1.7 s

    A phone's processor spends 1.7 s on main-thread work while loading, 621 ms of it running JavaScript. That is comfortably low.

  • Server response: 74 ms

    74 ms

    Your server sent the HTML in 74 ms, well inside Google's 600 ms guideline.

Core Web Vitals

8 to fix100
  • Fails Core Web Vitals for real visitors

    Real Chrome users on phones do not pass Google's Core Web Vitals on this page (28-day field data from the Chrome UX Report (opens in a new tab)). Google uses this in ranking.

  • Largest Contentful Paint: 8.1 s

    8.1 s

    Your largest element takes 8.1 s to render on a phone. Google's threshold for “good” is 2.5 s. The largest element is the image “acrmc-600x400-mobile-homepage”.

  • First Contentful Paint: 5.1 s

    5.1 s

    The first text or image appears after 5.1 s on a phone. Good is under 1.8 s.

  • Time to Interactive: 11.3 s

    11.3 s

    The page becomes fully interactive after 11.3 s. Good is under 3.8 s.

  • Speed Index: 5.9 s

    5.9 s

    Visually, the page fills in at 5.9 s (Speed Index). Good is under 3.4 s.

  • Real-user TTFB: 1.0 s

    1.0 s

    Real visitors wait 1.0 s for your server to start answering (75th percentile). Good is under 800 ms.

  • Total Blocking Time: 233 ms

    233 ms

    Scripts block taps and scrolling for 233 ms in total while the page loads. Good is under 200 ms.

  • 1 image without width and height

    1 image have no width and height attributes, so the layout jumps as each one loads.

7 checks passed
  • Real-user LCP: 1.9 s

    1.9 s

    Real visitors wait 1.9 s for the largest content to appear (75th percentile). Good is under 2.5 s.

  • Real-user INP: 91 ms

    91 ms

    Real visitors wait 91 ms for the page to respond to a tap (75th percentile). Good is under 200 ms.

  • Real-user CLS: 0.00

    0.00

    For real visitors the layout shifts by 0.00 (75th percentile). Good is under 0.1.

  • Real-user FCP: 1.7 s

    1.7 s

    Real visitors see the first content after 1.7 s (75th percentile). Good is under 1.8 s.

  • Tap response (INP) got 11% faster for real visitors

    -11%

    Over the last 25 four-week periods to 2026-10-17, real Chrome visitors' tap response (inp) went from 103 ms to 91 ms at the 75th percentile (Chrome UX Report (opens in a new tab) history).

  • Largest content (LCP) got 23% faster for real visitors

    -23%

    Over the last 25 four-week periods to 2026-10-17, real Chrome visitors' largest content (lcp) went from 2.6 s to 1.9 s at the 75th percentile (Chrome UX Report (opens in a new tab) history).

  • Cumulative Layout Shift: 0

    0

    The layout barely moves while loading (CLS 0, good is under 0.1).

Images and page weight

1 to fix98
  • An image on the first screen is lazy-loaded

    acrmc-600x400-mobile-homepage-500x348.jpg is on the first screen but marked loading="lazy", so the browser waits before fetching it and the page looks finished later. Load it eagerly (and give it fetchpriority="high" if it is the main image).

  • 2 images in older formats

    2 images (81 KiB) are JPEG, PNG or GIF. The same pictures as WebP or AVIF are usually much smaller at the same quality, and every current browser shows them.

  • 1 image below the first screen load straight away

    1 image further down the page (45 KiB) download before anyone scrolls to it. Adding loading="lazy" lets the first screen load first.

  • About 0.5 g of CO₂ per visit

    0.54 g

    By the Sustainable Web Design model, a visit to your homepage emits about 0.54 g of CO₂e: 65.4 kg a year at 10,000 visits a month. It scales with page weight, so every byte cut lowers it.

2 checks passed
  • Page weight: 1.9 MB in 111 requests

    1.9 MB

    Your homepage downloads 1.9 MB in 111 requests on a phone: scripts 917 KiB (42), fonts 531 KiB (10) and stylesheets 317 KiB (44). That is a lean page.

  • Images are sized for phones

    No image is downloaded at more than three times the size it is drawn on a phone.

Accessibility

4 to fixGoogle 9294
  • 9 text elements with low contrast

    9 text elements don't have enough contrast against the background to read easily, especially outdoors on a phone.

  • Elements must only use permitted ARIA attributes (4 elements)

    Elements must only use permitted ARIA attributes: 4 elements on the page fail this check, rated serious by axe-core.

  • All page content should be contained by landmarks (8 elements)

    All page content should be contained by landmarks: 8 elements on the page fail this check, rated moderate by axe-core.

  • Page should contain a level-one heading (1 element)

    Page should contain a level-one heading: 1 element on the page fails this check, rated moderate by axe-core.

  • Elements with visible text labels do not have matching accessible names.

    Elements with visible text labels do not have matching accessible names. (12 elements).

2 checks passed
  • Every image has alt text

    All 10 images in the HTML carry an alt attribute.

  • 44 automated accessibility rules passed

    axe-core 4.13.0, the open-source engine behind most accessibility testing tools, ran 48 WCAG 2.2 A/AA and best-practice rules on the phone render: 44 passed and 4 failed. 2 mores need a person to judge. Automated rules catch about a third of accessibility problems; the rest need manual testing.

SEO

4 to fixGoogle 8584
  • No H1 headline

    There is no <h1>, so neither visitors nor Google get a clear main headline.

  • No social preview image

    No Open Graph image, so links shared on LinkedIn, Slack or Facebook show no preview picture.

  • 7 links crawlers can't follow

    7 links have no real href, so search engines can't follow them.

  • 3 links with vague text

    3 links use generic text like “click here” or “learn more”, which tells Google nothing about the page behind them.

  • 166 internal links, 17 external

    The homepage links to 166 pages on acrmc.com and 17 external pages.

6 checks passed
  • Meta description: 140 characters

    Your meta description is 140 characters: “Providing a wide range of health care services for our patients, families and community including, medical, surgical an…”.

  • Title: 36 characters

    Your title is a healthy 36 characters: “Adams County Regional Medical Center”.

  • Canonical URL set

    The canonical URL is https://acrmc.com/.

  • Structured data in place

    Structured data found: WebSite.

  • robots.txt in place

    robots.txt is in place and points crawlers to your sitemap.

  • XML sitemap found

    Your XML sitemap is reachable at https://acrmc.com/sitemaps.xml.

AI search readiness

1 to fix88
  • No Organization structured data

    There is no Organization (or LocalBusiness) JSON-LD, so search engines and AI assistants have no machine-readable facts about who runs the site: its name, logo, profiles and contact details.

  • No llms.txt

    There is no /llms.txt, a short Markdown guide to your key pages for AI tools (llmstxt.org). It is optional and few AI tools read it yet, so treat it as a cheap extra.

2 checks passed
  • AI answer engines may read the site

    Your robots.txt lets the crawlers behind ChatGPT search, Claude and Perplexity read the site and cite it in answers.

  • Text is in the HTML

    Your server sends the page's text in the HTML (531 words), so crawlers that don't run JavaScript still read it.

Other pages

1 to fix95
  • 15 pages without an H1

    /clinics, /patient-portals, /contact-us, /careers, /patient-financial-services and /request-medical-records and 9 others have no <h1> headline, so visitors and search engines get no clear main topic.

  • 15 internal pages checked

    We fetched 15 pages linked from your homepage (of 55 found) and read each the way a search engine does.

6 checks passed
  • Linked pages load

    All 15 pages we checked loaded without an error.

  • Canonical URLs point to themselves

    No page we checked hands its ranking to a different URL.

  • Every page has a meta description

    All 15 pages that loaded have a meta description.

  • Titles are unique

    Every page we checked has its own title.

  • No linked page is hidden from search

    None of the pages we checked carries a noindex tag.

  • Every page has a title

    All 15 pages that loaded have a <title>.

Best practices

1 to fixGoogle 10093
  • 4 small tap targets

    4 of 20 tappable elements near the top of the page are smaller than 24 px, hard to hit with a thumb.

2 checks passed
  • No console errors

    No JavaScript errors were logged while the page loaded on a phone.

  • Mobile viewport set

    The page declares a mobile viewport.

Security and trust

2 to fix86
  • No HSTS header

    No Strict-Transport-Security header, so browsers may still try plain http first on a return visit.

  • No Content-Security-Policy

    No Content-Security-Policy header, the main browser-side defence against injected scripts.

  • No clickjacking protection

    Neither X-Frame-Options nor a CSP frame-ancestors policy is set, so any site can embed yours in a frame.

  • No X-Content-Type-Options

    X-Content-Type-Options: nosniff is missing, so browsers may guess file types.

  • No Referrer-Policy

    No Referrer-Policy header, so full URLs can leak to the sites you link to.

  • No Permissions-Policy

    No Permissions-Policy header to switch off camera, microphone and location for embedded content.

  • No security.txt

    There is no /.well-known/security.txt telling researchers how to report a security problem to you.

5 checks passed
  • Served over HTTPS

    The homepage is served over HTTPS (acrmc.com).

  • Valid certificate (75 days left)

    The certificate from Let's Encrypt · YR2 verifies for acrmc.com and is valid for another 75 days.

  • http:// redirects to https

    http://acrmc.com redirects to the secure version.

  • HTTP/2 and HTTP/3

    The server speaks HTTP/2 and advertises HTTP/3, so browsers load many files over one connection.

  • All 49 links work

    All 49 links checked from your homepage (40 internal, 9 external) answered without errors.

Domain and trust

  • No CAA record

    acrmc.com has no CAA record, so any certificate authority may issue a certificate for it. A CAA record naming your provider (for example letsencrypt.org) closes that door.

  • DNSSEC is off

    acrmc.com's DNS answers are not signed. DNSSEC stops attackers forging them to send visitors or email elsewhere; most registrars switch it on in a click, though most sites still run without it.

2 checks passed
  • Domain is 21 years old

    21 years

    acrmc.com was registered in Jul 2005 through Network Solutions, LLC. An established domain carries more trust with email providers and search engines.

  • Registered until Jul 2030

    acrmc.com is registered until Jul 2030.

Content and conversion

4 to fix78
  • Local business without LocalBusiness data

    Your homepage shows a map but no LocalBusiness JSON-LD, so Google and AI assistants have to guess your address, hours and phone from the page text.

  • No phone number on the homepage

    A local customer looking to call finds no phone number on the homepage. Add one, ideally as a tap-to-call link.

  • No direct contact details

    No phone number or email link on the homepage, so ready-to-buy visitors have one fewer way to reach you.

  • Only about 229 words

    The homepage has only about 229 words of visible text; thin pages give Google and first-time buyers little to go on.

  • No opening hours

    The homepage shows no opening hours. If customers visit or call, show when.

  • No risk reducer

    No guarantee or risk reducer (money-back, free trial, no credit card) is mentioned, which is often what tips a hesitant visitor.

5 checks passed
  • Clear next step on the first screen

    On a phone, the first screen shows a clear next step: “Schedule An Appointment”.

  • 12 calls to action

    The homepage has 12 calls to action, for example “Schedule an Appointment”, “Contact Us” and “Request Medical Records”.

  • 2 short forms

    2 short forms (1 field at most) are right on the homepage.

  • Social proof on the page

    Social proof on the homepage: 3 testimonial or review blocks and 1 trust badge.

  • Analytics in place

    Analytics detected: Google Analytics.

Email authentication

2 to fix40
  • No DMARC policy

    acrmc.com has no DMARC record, so nothing tells receivers what to do with mail that fails SPF or DKIM. Gmail and Yahoo require DMARC from bulk senders.

  • No DKIM key on the usual selectors

    We found no DKIM key on the selectors the big email providers use. If you send through one of them, turning on DKIM signing improves delivery.

  • Email authentication score: 40/100

    Email authentication: SPF record 25 points, plus 15 when it ends in -all (10 for ~all); DMARC record 25, plus 25 for a reject policy (15 for quarantine); a DKIM key on a common selector 10.

1 checks passed
  • SPF with a strict ending (-all)

    An SPF record lists your sending servers and tells receivers to reject anything else: “v=spf1 include:spf.ess.barracudanetworks.com -all”.

Privacy and tracking

1 to fix
  • 2 trackers load before any consent

    2

    Before a visitor clicks anything, the page loads Google Analytics and Google Tag Manager (measured from a US location before any click). No consent tool was detected. Visitors from the EU, UK and several US states must be asked first.

  • 10 cookies set on arrival

    10

    Opening the homepage sets 10 cookies (measured from a US location before any click).

  • No consent tool detected

    No known cookie consent tool loads with the page. Some sites build their own banner, and some only show one to visitors from the EU.

  • 4 other companies contacted

    Loading the homepage contacts 4 hosts run by other companies (fonts, scripts, analytics, ads), each of which sees the visitor's IP address.

Upkeep, stack and company

  • The footer still says © 2025.

Stack

CMS
WordPress 7.1.3
Framework
jQuery
E-commerce
WooCommerce
Analytics
Google Analytics

Upkeep, stack, hiring and company data from programmable.info

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