I'm not sure if SpaMedica underwent new management. I've heard that they have, but I rarely have any trouble with them keeping appointments or them starting on time. I had one time where my appointment was 15 minutes late but they were apologetic. But I do have problems rebooking them if I cancel which is fair enough. One time, I had to rebook because of MY scheduling issues and wasn't able to rebook until one month later.
The staff is nice - nothing special, but definitely not rude. The place is clean. I bought a package of treatments there so I've been back at least 5 times. I think I've been offered a drink maybe once, although they now have a Keurig in the front, so I think you can serve yourself? But it's true; they are not very attentive. However the staff who do the treatments are sometimes too talkative. I get that it can get boring (my treatments can run to 90min), but I'm not really there to listen to their love life. I would rather do my readings or try to take a nap, but I would feel weird telling them to stop talking especially when they are massaging my body.
I would give this place 4 stars if not for the fact that I'm not sure the treatment I bought (CoolSculpting and BodyFx) is working. I'm on my 4th treatment or so, and maybe see the belly fat move up but no changes in inches. I will change the rating if I see it working.
I honestly would rather spend the money on a personal trainer than do the treatments again, but I can say it's more of an institutional issue of CoolSculpting not being effective than to say it's just because of this place.