QUOTE: “So there’s three things that you really want to do well if you want to be the world’s best search engine you want to crawl the web comprehensively and deeply you want to index those pages and then you want to rank or serve those pages and return the most relevant ones first….. we basically take PageRank as the primary determinant and the more PageRank you have that is the more people who link to you and the more reputable those people are the more likely it is we’re going to discover your page…. we use page rank as well as over 200 other factors in our rankings to try to say okay maybe this document is really authoritative it has a lot of reputation because it has a lot of PageRank … and that’s kind of the secret sauce trying to figure out a way to combine those 200 different ranking signals in order to find the most relevant document.” Matt Cutts, Google
Google is all about ‘user experience’ and ‘visitor satisfaction’ in 2019 so it’s worth remembering that usability studies have shown that a good page title length is about seven or eight words long and fewer than 64 total characters. Longer titles are less scan-able in bookmark lists, and might not display correctly in many browsers (and of course probably will be truncated in SERPs).
"I wanted to thank you guys for everything you've done for my company. When I first went to Curt for help about a 1.5 years ago, I was a very tiny company. We're now doing about 1500 jobs a month, and I give a lot of credit to you guys for the exposure. It's been life changing for me. I was working 12 hour days, 7 days a week for 2 years. I am finally able to back off some because I can afford office help as well. Thanks for being so great at what you do. I still don't know what that is exactly, but thanks for doing it so well."
OBSERVATION – You can have the content and the links – but if your site falls short on even a single user satisfaction signal (even if it is picked up by the algorithm, and not a human reviewer) then your rankings for particular terms could collapse – OR – rankings can be held back – IF Google thinks your organisation, with its resources, or ‘reputation, should be delivering a better user experience to users.
Many think that Google won’t allow new websites to rank well for competitive terms until the web address “ages” and acquires “trust” in Google – I think this depends on the quality of the incoming links. Sometimes your site will rank high for a while then disappears for months. A “honeymoon period” to give you a taste of Google traffic, perhaps, or a period to better gauge your website quality from an actual user perspective.
If you're struggling to think of more keywords people might be searching about a specific topic, go to Google.com and take a look at the related search terms that appear when you plug in a keyword. When you type in your phrase and scroll to the bottom of Google's results, you'll notice some suggestions for searches related to your original input. These keywords can spark ideas for other keywords you may want to take into consideration.
Google expects pages to “be edited, reviewed, and updated on a regular basis” especially if they are for important issues like medical information, and states not all pages are held to such standards, but one can expect that Google wants information updated in a reasonable timescale. How reasonable this is, is dependant on the TOPIC and the PURPOSE of the web page RELATIVE to competing pages on the web.

An SEO meta description is a brief description of content found on a web page. The meta description is shown to users in search engine results pages to help them decide which search result to click on. Meta descriptions are not a ranking factor in the eyes of a search engine, but they can influence how many people click on a result -- which directly affects the result's organic ranking.
QUOTE: “To summarize, a lack of helpful SC may be a reason for a Low quality rating, depending on the purpose of the page and the type of website. We have different standards for small websites which exist to serve their communities versus large websites with a large volume of webpages and content. For some types of “webpages,” such as PDFs and JPEG files, we expect no SC at all.” Google Search Quality Evaluator Guidelines 2017
Who is in your target market? - SEO today is not about just grabbing as much traffic as possible, but instead attracting high-value visitors interested in what you offer. In terms of demographics, what is your market searching for? How are they performing web searches? Where are they located? The more specific your answers, the more valuable your investments in SEO become. Google Analytics is a good place to start your investigations!

QUOTE: “Supplementary Content contributes to a good user experience on the page, but does not directly help the page achieve its purpose. SC is created by Webmasters and is an important part of the user experience. One common type of SC is navigation links which allow users to visit other parts of the website. Note that in some cases, content behind tabs may be considered part of the SC of the page.” Google Search Quality Evaluator Guidelines 2017

QUOTE: “Search engine optimization is often about making small modifications to parts of your website. When viewed individually, these changes might seem like incremental improvements, but when combined with other optimizations, they could have a noticeable impact on your site’s user experience and performance in organic search results.” Google Starter Guide, 2008

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So: how to proceed? On the one hand, SEO best practices recommend that you include relevant keywords in a number of high-attention areas on your site, everywhere from the titles and body text of your pages to your URLs to your meta tags to your image file names. On the other hand, successfully optimized websites tend to have thousands or even millions of keywords. You can't very well craft a single, unique page for every one of your keywords; at the same time, you can't try to cram everything onto a handful of pages with keyword stuffing and expect to rank for every individual keyword. It just doesn't work that way.