MELLEKA MARKETING

St. Joseph — Disapproved Ads Audit

Both accounts audited: V2 (514-349-3594) & Primary (213-209-6417)

Audit Summary

Disapproved
8
Ads fully disapproved
Limited
6+
Approved with limitations
Root Causes
2
Distinct policy issues
Fixable Now
8
All disapprovals fixable

CRITICAL Issue 1: Destination Not Working

Account: V2 (514-349-3594) | Campaign: Search | Website Form Submission Spanish

Policy Violation: DESTINATION_NOT_WORKING — Google's crawler cannot reach the landing page or the page returns an error. Both Spanish RSA ads in "Ad group 1" are fully disapproved.
Ad ID Type Final URL Status Policy Issue
777120120137 RSA stjosephmedicalcorp.com/survey/ Disapproved Destination Not Working
779536957405 RSA stjosephmedicalcorp.com/survey/ Disapproved Destination Not Working

How to Fix

1
Check the landing page

Visit https://stjosephmedicalcorp.com/survey/ and confirm it loads correctly. Check for: SSL certificate errors, 404/500 errors, geo-blocking, or robot/bot blocking that could prevent Google from crawling.

2
Check robots.txt

Make sure stjosephmedicalcorp.com/robots.txt does not block Googlebot or AdsBot-Google from accessing /survey/. Common issue: security plugins blocking bot traffic.

3
Request re-review

Once the landing page is confirmed working: In Google Ads, go to the campaign > ad group > select both disapproved ads > click "Request review." Google typically re-reviews within 1 business day.

4
Alternative: Change the final URL

If the /survey/ page is permanently broken, update the final URL to the Spanish version of the main site (if available) or to https://stjosephmedicalcorp.com/ with language parameters.

Impact: The entire Spanish Search campaign has zero ad delivery right now — both ads are disapproved. This means all Spanish-speaking diabetes patients searching for CGM devices are not seeing STJ ads. Based on V2 data, the Spanish campaign generated 14-16 conversions with $822K in spend (Jan-Mar). Fixing this is urgent.

CRITICAL Issue 2: One Website Per Ad Group

Account: Primary (213-209-6417) | Campaign: L2S - Focused Search Campaign 3/15/26

Policy Violation: ONE_WEBSITE_PER_AD_GROUP — Google requires all ads in a single ad group to use the same root domain. Ads in "Devices & Brands" and "Devices & Brands #2" are mixing libre2sensors.com with stjosephmedicalcorp.com.
Ad Group Ad ID Type Final URL Domain Status
Devices & Brands 586944169838 RSA libre2sensors.com Disapproved
Devices & Brands 588590808939 RSA libre2sensors.com Disapproved
Devices & Brands 593368941341 RSA libre2sensors.com Disapproved
Devices & Brands 799954824670 Call Ad libre2sensors.com Disapproved
Devices & Brands #2 784557251703 RSA libre2sensors.com Disapproved
Devices & Brands 588083611436 RSA stjosephmedicalcorp.com Approved
Diabetic Terms 586828518393 RSA stjosephmedicalcorp.com Approved
CGM 586940571737 RSA stjosephmedicalcorp.com Approved

Root Cause Analysis

The "Devices & Brands" ad group has ads pointing to TWO different domains: libre2sensors.com and stjosephmedicalcorp.com. Google's policy requires all ads within a single ad group to use the same root domain. The libre2sensors.com ads are being disapproved because they conflict with the stjosephmedicalcorp.com ads in the same ad group.

How to Fix — Option A (Recommended)

1
Update all ads to use one domain

Change the final URLs of the disapproved ads from libre2sensors.com to stjosephmedicalcorp.com/survey/ (the main conversion URL). This keeps everything in one ad group and satisfies the policy.

2
Remove the old ads

If libre2sensors.com is no longer the preferred destination, pause or remove ads 586944169838, 588590808939, 593368941341, 799954824670, and 784557251703.

How to Fix — Option B (If both domains needed)

1
Create a separate ad group

Create a new ad group called "Devices & Brands — Libre2Sensors" and move all libre2sensors.com ads into it. Each ad group will then have only one domain.

2
Split keywords accordingly

Move relevant keywords (FreeStyle Libre, Libre 2, sensor-related terms) to the new ad group, keeping device-agnostic terms in the original.

INFO Issue 3: Health in Personalized Ads (Expected)

Both accounts | Display & Remarketing campaigns

This is expected and NOT fixable. Google restricts personalized advertising (remarketing, display targeting) for healthcare-related content. These ads are APPROVED_LIMITED — they still serve but with reduced audience targeting. This is a standard limitation for all medical/healthcare advertisers.
Account Campaign Ads Affected Impact
V2 Display | Remarketing | Website Visitors 3 Responsive Display Ads Limited remarketing reach
Primary Various PMax & Display Multiple ads Limited remarketing reach
No action needed. These limitations are industry-standard for healthcare advertising. The ads still serve — just with reduced personalization. Focus efforts on fixing Issues 1 and 2 above.

Priority Action Matrix

Total disapproved ads: 7 across both accounts. Fixing Issues 1 and 2 would bring all 7 back to approved status, restoring full ad delivery for the Spanish campaign and the Devices & Brands targeting.

Generated by Melleka Marketing

St. Joseph Medical — Disapproved Ads Audit