Good morning!
It's good that you're doing a competitive audit for the business, as I agree, it appears to be being excluded from Google's local finder for searches like "senior placement". I am able to find the listing's Google Business Profile doing a branded organic search and I'm able to find it via a branded search within the finder, but it's not coming up for me for non-branded searches. So, the listing hasn't suffered a hard penalty (removal) but it's not ranking for your stated search phrase.
I can't replicate a full audit here in the forum, but here are some things standing out to me, at a glance:
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Many of the top ranked competitors have exact matches of "senior placement" and "placement" in their business titles. You don't. If these are legitimately their names, then this is to their advantage. But if any of them have added "senior" "placement" or "senior placement" to their business titles when this is not their name, this would be a violation of Google's guidelines that you could report.
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Many of the ranking businesses have a street address published on their listing. Your facility doesn't. In fact, there are zero signals of location on your website, other than the 502 prefix of the phone number. I see no address, no mention of Tucson in the text content of the pages, and only a reference to locality in some title tags. Is the business actually based in Tucson? Why does it not publish an address, and why am I not seeing Tucson referenced in the content of the website? It's making me curious about the business model. Is this a single business at a single location, or is it part of a franchise and the website I'm looking at at aseniorjourney.com is just for the Tucson branch of a much larger business? At any rate, there's no address on the Google listing (compared to competitors) and very weak signals of locality coming from the website. I do see that Old Pueblo Placement Services is ranking without an address, so what I've noticed here is not "the answer". Still, it's something to investigate further.
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The Possum filter does not appear to be at play here, because no matter how many times I zoom in on the map, the business just isn't showing up.
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How confident are you that the review practices the facility has engaged in are guideline compliant? 33 all-five-star reviews makes me slightly worried. Not saying anything is wrong there, but I always find businesses with perfect 5 star rating to be slightly unusual.
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Without a street address, I can't run the diagnostics I would like to seek problems with the listing. Have you done this?
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It looks like the GMB listing hasn't been claimed. Is that right?
That's all I have time for this morning. Something is definitely amiss with the business. I would recommend taking the listing over to Google's Help Forum for further troubleshooting.