The carpets are dirty, I am sure they are vacumed every once in a while, but not been cleaned in years, with god knows what fluids on them. The showers were not that bad, there was some soap scum, but who doesn't have that at home. Most of the rooms are small, with a couple larger ones. My main problem with the place is the floors and walls.
The attendents do change the towels and linens, so you have nothing to worry about there.
It is just generally run down. Its like if you are living in a house for 20 years and you never once painted or did any repairs or fixups. You can imagine how it would be.
You can not compare it to the other spas such as body and soul, blue pearl, hands from heaven, etc.
There are some nice girls there, Amy for one is awesome, she has many fans.
Also you should note that alphacare hardly ever changes their site. And most of the pictures you will see on their site are girls who are not there or never were there to begin with.
Emma for example used to be called Elizabeth, and I once called asking if she was in and was told she didn't work there anymore. And then months later the site is updated and her named changed to Emma, I have been there a few times since and have yet to be there when she is working (if she is ever working) Try to call and see if Emma is working on the day you want to visit.
If you are going to spend the money, I would suggest going to a better spa, which has better reviews.