Due to the limited availability of urban land in China, many adult care facilities have resorted to constructing roadside living spaces. However, this has led to a significant issue of traffic noise disturbance. Besides, many rooms lack of control over indoor reverberation. As a result, the communication efficiency of the residents might be greatly impacted. This study aims to investigate the impact of traffic noise level, room size, and surface sound absorption on speech transmission index (STI), based on a typical room layout and conducted using acoustic simulation. The simulation results indicated that in order to achieve the required STI over 0.79 for elderly residents, it is imperative to control the road noise interference below 40 dBA and ensure that the room reverberation time under 0.42 s. To achieve this, it is recommended that for a road with a noise emission level of 72 dBA, the distance between the roadside room and the road should not less than 10 m. Additionally, windows with Rw+Ctr over 28 dB without road sound barriers (over 20 dB with sound barriers) should be installed. Besides, the room area needs to be controlled within 20 m2 and an acoustic ceiling with NRC>0.65 should be installed.