Designing for Patient Comfort  

The role of stone wool ceilings in modern healthcare design

Sponsored by ROCKFON | By Andrew A. Hunt

This course is part of the Healthcare Academy

Image © Michael O’Callahan; photo courtesy of Rockfon

Acoustic design plays a key role in creating health care environments that promote healing, durability, and comfort.

 

Healthcare environments place unique demands on the built environment, requiring solutions that support healing, support patient recovery, and meet strict regulatory standards. Ceilings play a central role in this effort. By selecting advanced stone wool ceiling systems, design professionals can balance acoustic comfort, durability, and hygiene while maintaining design flexibility and supporting sustainability goals. This article explores how stone wool ceilings address the challenges of healthcare settings through high acoustic absorption, cleanable finishes, low VOC emissions, and fire safety. It also highlights how manufacturing processes, performance testing, and sustainable practices align with current trends to design and create healthy, adaptable, and durable healthcare environments.

 

Challenges in Modern Healthcare Design

Healthcare facilities are uniquely demanding environments, requiring a level of design precision and performance unmatched in most other building types. Hospitals, clinics, and treatment centers must address patient safety, infection control, fire resistance, and comfort while simultaneously creating spaces that support the work of medical professionals and the needs of visitors. Every choice an architect makes, from space planning to material specification, directly influences health outcomes, staff effectiveness, and the overall experience of care.

For decades, many healthcare facilities were designed with an institutional focus that defaulted to hard surfaces, sterile aesthetics, and utilitarian layouts. While these spaces met the functional demands of medical treatment, they often fell short of supporting patient well-being or staff efficiency. Outdated design decisions resulted in environments that were noisy, visually harsh, and difficult to maintain. Today, with increasing research into the relationship between the built environment and health outcomes, architects have a broad suite of tools available to improve both the aesthetics and performance of healthcare environments. But to understand the possibilities of reduced risk and enhanced recovery, it is important to identify and mitigate the specific challenges of modern healing centers.

Acoustics remain one of the common challenges in healthcare design. Hospitals are inherently noisy settings. Conversations among staff, the hum of HVAC systems, rolling carts, footsteps, and medical equipment alarms all contribute to a continuous background of sound. Studies confirm that elevated noise levels increase stress, interrupt sleep, and may even prolong patient recovery times. For staff, excessive noise reduces speech intelligibility, contributes to errors, and creates mental fatigue. Architects must now think critically about the role of materials and assemblies in absorbing sound, controlling reverberation, and providing adequate speech privacy.

Closely related to acoustics is indoor air quality (IAQ), another top priority in healthcare settings. Patients in hospitals are often highly vulnerable to airborne irritants, from dust and pollen to chemical off-gassing from finishes. Conventional building products historically introduced volatile organic compounds (VOCs) that can aggravate respiratory systems and contribute to discomfort. Architects today are tasked with specifying materials that minimize chemical emissions and promote cleaner air, creating an environment where patients can recover without additional respiratory strain and staff can perform at their best.

Infection control introduces another layer of design complexity and is closely linked to IAQ. Healthcare facilities are subject to rigorous cleaning protocols, often involving harsh disinfectants and repeated scrubbing. Materials that are porous, easily damaged, or difficult to sanitize are not suitable in these environments. Outdated designs often relied on surfaces that degraded quickly under cleaning regimens, leading to staining, microbial growth, and costly replacements. Modern material specifications must focus on durable finishes that resist microbial contamination and can withstand years of rigorous maintenance without losing performance.

Fire safety is also a critical design requirement. Unlike many other building types, healthcare facilities house occupants who may not be able to evacuate independently. This makes compliance with fire codes especially vital. For design and material specification, each decision is interconnected, and failing to address one performance requirement can create vulnerabilities elsewhere.

Another ongoing challenge is aesthetics. Traditional institutional design often left patients feeling disconnected from comfort, privacy, or dignity. Today, architects are increasingly asked to soften the clinical atmosphere without compromising performance. Materials must not only deliver durability and safety but also contribute to a sense of calm and reassurance. Patients recovering from surgery, for example, benefit from environments that reduce stress and support rest, while families waiting for loved ones appreciate spaces that feel less intimidating. Addressing the challenge of aesthetics requires finding materials and building products that support design flexibility yet integrate with required systems and elements, such as HVAC equipment, power outlets, and fire suppression systems.

All of these requirements, including acoustic control, IAQ, infection resistance, fire safety, and aesthetics, converge most clearly in the ceiling plane. Once regarded as a neutral surface, ceilings now represent one of the most strategic design elements in healthcare environments. They occupy a large surface area, influence sound and light, and play a significant role in overall hygiene. Choosing the wrong ceiling materials can mean higher noise levels, increased infection risk, or compromised fire safety. Choosing the right ceiling system and materials can enhance patient comfort, improve communication, and support the ongoing functionality of the space.

Image Fotoworks/Benny Chan; photo courtesy of Rockfon

Ceilings can greatly contribute to acoustic design, cleanability, and aesthetics in health care environments.

 

The Unique Role of Ceilings in Healthcare

The ceiling is one of the most influential yet often underappreciated design elements in healthcare facilities. It is a continuous surface, visible in nearly every space, and can either contribute to noise problems or provide needed sound absorption, resist microbial growth, or allow contaminants to linger, and support fire protection or introduce vulnerabilities. In short, ceiling design should be a priority and thought of as a strategic component to improve and support healthcare operations.

When approaching ceiling designs for healthcare environments, stone wool panels can be a highly effective solution. Stone wool is a class of insulation and acoustic control building materials that falls under the mineral wool definition. Mineral wool is a broad term for insulation and acoustic control products made by spinning molten mineral materials into fibers.

Within this category are two primary types. Stone wool is produced primarily from abundant volcanic rock such as basalt. Slag wool is made from blast furnace slag, a recycled byproduct of steel production, sometimes blended with other stone.

While all stone wool is mineral wool, not all mineral wool is stone wool. Standards and codes often use the generic term “mineral wool,” but architects and specifiers may prefer the more precise “stone wool” when they want to emphasize the product’s natural rock origin, durability, and fire resilience.

Visitors to Hawai‘i’s Big Island may have encountered “Pele’s Hair” when exploring the volcanic national park. This delicate, golden filament is formed when molten lava is ejected into the air and rapidly cools into fine, hair-like strands. Though naturally occurring, it shares a similarity with the man-made process used to create stone wool. Like Pele’s Hair, stone wool is produced by melting volcanic rock at extremely high temperatures and spinning it into thin fibers that cool into a durable, lightweight material. These fibers are collected, bonded, and pressed into panels that can be manufactured in a wide range of sizes and surface treatments to meet architectural needs. This connection to lava gives stone wool its unique blend of natural origins and engineered performance.

The inherent qualities of stone wool imbue ceiling panels with a wide range of positive attributes. Stone wool can withstand extremely high temperatures without contributing to the spread of fire or producing toxic smoke. It is also highly resistant to moisture, preventing warping, sagging, or deterioration even in areas with high humidity or frequent cleaning. Dimensional stability is another critical performance feature of stone wool panels. Stone wool ceiling panels retain their shape and performance over time, even under demanding conditions per ASTM performance testing.

Stone wool is uniquely suited for healthcare applications. Stone wool does not rely on added antimicrobials or flame retardants; stone wool’s core properties come from its composition and manufacturing process. This inherent durability ensures long-term performance, which is especially important in facilities that operate 24 hours a day and cannot afford frequent maintenance disruptions.

In this way, stone wool ceilings provide a foundation for addressing many of the pressing design challenges of modern healthcare environments.

 

Acoustic Control with Stone Wool

Sound is one of the most pervasive and influential aspects of the built environment, yet it is often underestimated in healthcare design. Hospitals and clinics are filled with audible signals, including monitors beeping, ventilation systems humming, carts rolling, and conversations echoing through corridors. For patients, this noise can be overwhelming, disrupting sleep, raising stress, and slowing recovery. For staff, it creates fatigue, interferes with communication, and increases the likelihood of error. Sound design and acoustic control are critical factors in the health, safety, and wellness of patients, staff, and visitors to healthcare facilities.

The World Health Organization (WHO) has recognized noise as a significant public health issue. Studies from WHO and related research bodies have documented how excessive noise contributes to cardiovascular problems, delayed healing, and heightened stress. In hospitals, where occupants are often in vulnerable conditions, the stakes are even higher. Research shows that patients exposed to quieter environments report lower stress levels, require less pain medication, and recover more quickly compared to those in noisier wards. Similarly, staff in acoustically well-designed facilities experience improved concentration and reduced fatigue, which translates into better patient care.1

For architects and designers, addressing sound in healthcare facilities is an essential part of creating environments that support healing.

Noise and Healthcare

Noise is unwanted or disruptive sound that interferes with comfort, communication, or health. In everyday life, we often manage noise by physically separating ourselves from it, such as closing an office door. Another option to control noise is by masking it with another sound, like listening to music through headphones. Often, we simply tolerate the constant street sounds, jets, and background chatter until we can manage an escape from the din, usually at the end of the day. In healthcare environments, however, patients, staff, and visitors usually do not have these options, making effective acoustic design essential.

Noise has measurable physiological and psychological impacts. The WHO identifies environmental noise as one of the top environmental health burdens in Europe, second only to air pollution. Exposure to high levels of noise has been linked to increased heart rate, elevated blood pressure, and disruptions in the body’s stress response systems. In the context of healthcare, where patients are already experiencing physical and emotional stress, controlling noise becomes a vital component of treatment.

Sleep is perhaps the most direct way noise influences recovery. Hospitalized patients often struggle to sleep due to interruptions from medical equipment and staff activity. Poor sleep has been shown to slow wound healing, impair immune function, and increase pain sensitivity. Noise also has implications for mental health. Patients recovering from surgery or coping with chronic illness may feel heightened anxiety when exposed to uncontrolled soundscapes. A quiet, well-controlled environment signals safety and care, reinforcing therapeutic goals.

The implications extend beyond patient rooms. In neonatal intensive care units (NICUs), reducing ambient noise has been linked to healthier weight gain and improved developmental outcomes for premature infants. In psychiatric facilities, noise reduction is associated with calmer behavior and fewer incidents of agitation. Each of these examples underscores the role of acoustics as a therapeutic intervention.

For staff, constant exposure to noise can cause burnout, lower job satisfaction, and reduced attentiveness, which are critical concerns in a high-stakes healthcare setting. Besides the physical and emotional drain that noise can have on doctors, nurses, and other healthcare providers, excessive and unwanted noise can create a potentially dangerous environment for patients by muddling speech intelligibility.

Image © Michael O’Callahan; photo courtesy of Rockfon

Color, light, and thoughtful design can all contribute to healthcare spaces that are more comfortable for patients, staff, and visitors. Acoustic design plays a key role in creating healthcare environments that promote healing, durability, and comfort.

 

Image © Michael O’Callahan; photo courtesy of Rockfon

Acoustic design plays a key role in creating health care environments that promote healing, durability, and comfort.

 

Healthcare environments place unique demands on the built environment, requiring solutions that support healing, support patient recovery, and meet strict regulatory standards. Ceilings play a central role in this effort. By selecting advanced stone wool ceiling systems, design professionals can balance acoustic comfort, durability, and hygiene while maintaining design flexibility and supporting sustainability goals. This article explores how stone wool ceilings address the challenges of healthcare settings through high acoustic absorption, cleanable finishes, low VOC emissions, and fire safety. It also highlights how manufacturing processes, performance testing, and sustainable practices align with current trends to design and create healthy, adaptable, and durable healthcare environments.

 

Challenges in Modern Healthcare Design

Healthcare facilities are uniquely demanding environments, requiring a level of design precision and performance unmatched in most other building types. Hospitals, clinics, and treatment centers must address patient safety, infection control, fire resistance, and comfort while simultaneously creating spaces that support the work of medical professionals and the needs of visitors. Every choice an architect makes, from space planning to material specification, directly influences health outcomes, staff effectiveness, and the overall experience of care.

For decades, many healthcare facilities were designed with an institutional focus that defaulted to hard surfaces, sterile aesthetics, and utilitarian layouts. While these spaces met the functional demands of medical treatment, they often fell short of supporting patient well-being or staff efficiency. Outdated design decisions resulted in environments that were noisy, visually harsh, and difficult to maintain. Today, with increasing research into the relationship between the built environment and health outcomes, architects have a broad suite of tools available to improve both the aesthetics and performance of healthcare environments. But to understand the possibilities of reduced risk and enhanced recovery, it is important to identify and mitigate the specific challenges of modern healing centers.

Acoustics remain one of the common challenges in healthcare design. Hospitals are inherently noisy settings. Conversations among staff, the hum of HVAC systems, rolling carts, footsteps, and medical equipment alarms all contribute to a continuous background of sound. Studies confirm that elevated noise levels increase stress, interrupt sleep, and may even prolong patient recovery times. For staff, excessive noise reduces speech intelligibility, contributes to errors, and creates mental fatigue. Architects must now think critically about the role of materials and assemblies in absorbing sound, controlling reverberation, and providing adequate speech privacy.

Closely related to acoustics is indoor air quality (IAQ), another top priority in healthcare settings. Patients in hospitals are often highly vulnerable to airborne irritants, from dust and pollen to chemical off-gassing from finishes. Conventional building products historically introduced volatile organic compounds (VOCs) that can aggravate respiratory systems and contribute to discomfort. Architects today are tasked with specifying materials that minimize chemical emissions and promote cleaner air, creating an environment where patients can recover without additional respiratory strain and staff can perform at their best.

Infection control introduces another layer of design complexity and is closely linked to IAQ. Healthcare facilities are subject to rigorous cleaning protocols, often involving harsh disinfectants and repeated scrubbing. Materials that are porous, easily damaged, or difficult to sanitize are not suitable in these environments. Outdated designs often relied on surfaces that degraded quickly under cleaning regimens, leading to staining, microbial growth, and costly replacements. Modern material specifications must focus on durable finishes that resist microbial contamination and can withstand years of rigorous maintenance without losing performance.

Fire safety is also a critical design requirement. Unlike many other building types, healthcare facilities house occupants who may not be able to evacuate independently. This makes compliance with fire codes especially vital. For design and material specification, each decision is interconnected, and failing to address one performance requirement can create vulnerabilities elsewhere.

Another ongoing challenge is aesthetics. Traditional institutional design often left patients feeling disconnected from comfort, privacy, or dignity. Today, architects are increasingly asked to soften the clinical atmosphere without compromising performance. Materials must not only deliver durability and safety but also contribute to a sense of calm and reassurance. Patients recovering from surgery, for example, benefit from environments that reduce stress and support rest, while families waiting for loved ones appreciate spaces that feel less intimidating. Addressing the challenge of aesthetics requires finding materials and building products that support design flexibility yet integrate with required systems and elements, such as HVAC equipment, power outlets, and fire suppression systems.

All of these requirements, including acoustic control, IAQ, infection resistance, fire safety, and aesthetics, converge most clearly in the ceiling plane. Once regarded as a neutral surface, ceilings now represent one of the most strategic design elements in healthcare environments. They occupy a large surface area, influence sound and light, and play a significant role in overall hygiene. Choosing the wrong ceiling materials can mean higher noise levels, increased infection risk, or compromised fire safety. Choosing the right ceiling system and materials can enhance patient comfort, improve communication, and support the ongoing functionality of the space.

Image Fotoworks/Benny Chan; photo courtesy of Rockfon

Ceilings can greatly contribute to acoustic design, cleanability, and aesthetics in health care environments.

 

The Unique Role of Ceilings in Healthcare

The ceiling is one of the most influential yet often underappreciated design elements in healthcare facilities. It is a continuous surface, visible in nearly every space, and can either contribute to noise problems or provide needed sound absorption, resist microbial growth, or allow contaminants to linger, and support fire protection or introduce vulnerabilities. In short, ceiling design should be a priority and thought of as a strategic component to improve and support healthcare operations.

When approaching ceiling designs for healthcare environments, stone wool panels can be a highly effective solution. Stone wool is a class of insulation and acoustic control building materials that falls under the mineral wool definition. Mineral wool is a broad term for insulation and acoustic control products made by spinning molten mineral materials into fibers.

Within this category are two primary types. Stone wool is produced primarily from abundant volcanic rock such as basalt. Slag wool is made from blast furnace slag, a recycled byproduct of steel production, sometimes blended with other stone.

While all stone wool is mineral wool, not all mineral wool is stone wool. Standards and codes often use the generic term “mineral wool,” but architects and specifiers may prefer the more precise “stone wool” when they want to emphasize the product’s natural rock origin, durability, and fire resilience.

Visitors to Hawai‘i’s Big Island may have encountered “Pele’s Hair” when exploring the volcanic national park. This delicate, golden filament is formed when molten lava is ejected into the air and rapidly cools into fine, hair-like strands. Though naturally occurring, it shares a similarity with the man-made process used to create stone wool. Like Pele’s Hair, stone wool is produced by melting volcanic rock at extremely high temperatures and spinning it into thin fibers that cool into a durable, lightweight material. These fibers are collected, bonded, and pressed into panels that can be manufactured in a wide range of sizes and surface treatments to meet architectural needs. This connection to lava gives stone wool its unique blend of natural origins and engineered performance.

The inherent qualities of stone wool imbue ceiling panels with a wide range of positive attributes. Stone wool can withstand extremely high temperatures without contributing to the spread of fire or producing toxic smoke. It is also highly resistant to moisture, preventing warping, sagging, or deterioration even in areas with high humidity or frequent cleaning. Dimensional stability is another critical performance feature of stone wool panels. Stone wool ceiling panels retain their shape and performance over time, even under demanding conditions per ASTM performance testing.

Stone wool is uniquely suited for healthcare applications. Stone wool does not rely on added antimicrobials or flame retardants; stone wool’s core properties come from its composition and manufacturing process. This inherent durability ensures long-term performance, which is especially important in facilities that operate 24 hours a day and cannot afford frequent maintenance disruptions.

In this way, stone wool ceilings provide a foundation for addressing many of the pressing design challenges of modern healthcare environments.

 

Acoustic Control with Stone Wool

Sound is one of the most pervasive and influential aspects of the built environment, yet it is often underestimated in healthcare design. Hospitals and clinics are filled with audible signals, including monitors beeping, ventilation systems humming, carts rolling, and conversations echoing through corridors. For patients, this noise can be overwhelming, disrupting sleep, raising stress, and slowing recovery. For staff, it creates fatigue, interferes with communication, and increases the likelihood of error. Sound design and acoustic control are critical factors in the health, safety, and wellness of patients, staff, and visitors to healthcare facilities.

The World Health Organization (WHO) has recognized noise as a significant public health issue. Studies from WHO and related research bodies have documented how excessive noise contributes to cardiovascular problems, delayed healing, and heightened stress. In hospitals, where occupants are often in vulnerable conditions, the stakes are even higher. Research shows that patients exposed to quieter environments report lower stress levels, require less pain medication, and recover more quickly compared to those in noisier wards. Similarly, staff in acoustically well-designed facilities experience improved concentration and reduced fatigue, which translates into better patient care.1

For architects and designers, addressing sound in healthcare facilities is an essential part of creating environments that support healing.

Noise and Healthcare

Noise is unwanted or disruptive sound that interferes with comfort, communication, or health. In everyday life, we often manage noise by physically separating ourselves from it, such as closing an office door. Another option to control noise is by masking it with another sound, like listening to music through headphones. Often, we simply tolerate the constant street sounds, jets, and background chatter until we can manage an escape from the din, usually at the end of the day. In healthcare environments, however, patients, staff, and visitors usually do not have these options, making effective acoustic design essential.

Noise has measurable physiological and psychological impacts. The WHO identifies environmental noise as one of the top environmental health burdens in Europe, second only to air pollution. Exposure to high levels of noise has been linked to increased heart rate, elevated blood pressure, and disruptions in the body’s stress response systems. In the context of healthcare, where patients are already experiencing physical and emotional stress, controlling noise becomes a vital component of treatment.

Sleep is perhaps the most direct way noise influences recovery. Hospitalized patients often struggle to sleep due to interruptions from medical equipment and staff activity. Poor sleep has been shown to slow wound healing, impair immune function, and increase pain sensitivity. Noise also has implications for mental health. Patients recovering from surgery or coping with chronic illness may feel heightened anxiety when exposed to uncontrolled soundscapes. A quiet, well-controlled environment signals safety and care, reinforcing therapeutic goals.

The implications extend beyond patient rooms. In neonatal intensive care units (NICUs), reducing ambient noise has been linked to healthier weight gain and improved developmental outcomes for premature infants. In psychiatric facilities, noise reduction is associated with calmer behavior and fewer incidents of agitation. Each of these examples underscores the role of acoustics as a therapeutic intervention.

For staff, constant exposure to noise can cause burnout, lower job satisfaction, and reduced attentiveness, which are critical concerns in a high-stakes healthcare setting. Besides the physical and emotional drain that noise can have on doctors, nurses, and other healthcare providers, excessive and unwanted noise can create a potentially dangerous environment for patients by muddling speech intelligibility.

Image © Michael O’Callahan; photo courtesy of Rockfon

Color, light, and thoughtful design can all contribute to healthcare spaces that are more comfortable for patients, staff, and visitors. Acoustic design plays a key role in creating healthcare environments that promote healing, durability, and comfort.

 

Speech Privacy and Intelligibility for Patient Safety

Speech privacy is one of the most sensitive acoustic challenges in healthcare design. Patient dignity depends on the assurance that conversations with physicians, nurses, or family members are not overheard by others. Regulations such as HIPAA in the United States explicitly require that facilities protect the confidentiality of personal health information, which includes verbal communication. Unfortunately, outdated institutional designs often fail to provide this level of privacy. Thin partitions, low-performing ceiling systems, and open nurse stations allow sound to travel between spaces, making it possible for private conversations to be unintentionally shared.

While privacy ensures that conversations are contained, intelligibility ensures that conversations are understood. In healthcare, clear communication is a matter of safety. Misunderstood instructions can result in medication errors, treatment delays, or improper patient care. For patients, especially those with hearing difficulties or language barriers, improved clarity in speech makes it easier to follow care instructions, ask questions, and feel confident in their treatment.

Research has shown that reducing background noise and improving acoustic conditions increases speech transmission index (STI) scores, a measurement directly tied to speech intelligibility. Staff working in quieter environments experience lower stress with greater job satisfaction and have fewer errors. Improved speech intelligibility reduces the need to repeat instructions, while reduced noise exposure prevents the cognitive overload that can result from continuous background sounds. Facilities that prioritize acoustic design therefore not only create calmer, quieter environments but also directly support patient safety through clearer communication.2

Understanding Acoustic Standards in Healthcare

To address noise effectively, architects must work within established standards and measurement systems that quantify acoustic performance. Two of the most widely recognized metrics are Noise Reduction Coefficient (NRC) and Sound Transmission Class (STC). These two standards help address the amount of noise generated and persistent in a space, and the amount of noise that travels between spaces.

Noise Reduction Coefficient (NRC) for Sound Absorption

Reverberation is the persistence of sound in a space after the original sound source has stopped, caused by repeated reflections from surfaces such as walls, ceilings, and floors. Hard, non-absorptive materials will readily reflect sharp noises and allow sound waves to bounce around spaces, increasing the reverberation time. For exposed interiors in healthcare settings, the more acoustically absorptive the material specified, the less reverberation time a space will have.

NRC is a measure of a material’s ability to absorb sound within a space. The measurement is expressed as a single number rating, typically between 0.00 (no absorption) and 1.00 (perfect absorption). An NRC of 0.70, for example, means that 70 percent of the sound energy striking the material is absorbed rather than reflected into the room. In short, the NRC value helps identify which materials will support – or conflict – with the acceptable amount of reverberation a space can maintain.

Because ceiling panels occupy a large percentage of a room’s overall exposed surface, they are exceptionally important in supporting acoustic control in healthcare environments. High-NRC materials are critical in spaces where speech intelligibility and acoustic comfort are priorities. Stone wool ceiling panels excel in this role because of their highly absorptive properties. With NRC values that often exceed 0.90, stone wool panels can absorb most of the sound energy and significantly reduce reverberation time.

For patients and staff, reducing reverberation time in critical spaces such as nurse stations, operating theaters, and intensive care units directly impacts speech intelligibility. Background reverberation can create a cacophony of noise that can make simple interactions challenging and exhausting for staff. Reducing reverberation removes the din of noise and supports clear communication, which can improve safety and outcomes.

In waiting rooms and family areas, noise control and reduced reverberation times help improve emotional well-being. These spaces are often crowded and emotionally charged. Providing spaces where simple speech at normal volumes can be shared is possible to reduce stress when proper sound-absorbing materials are specified.

Image © Michael O’Callahan. Photo courtesy of Rockfon.

Large entry spaces can often result in excessive reverberation, making even simple conversations difficult. Controlling noise in these central spaces is possible with thoughtful acoustical design treatments that promote privacy and speech intelligibility.

 

Sound Transmission Class (STC)

Where NCR measures the ability to control noise within a space, STC measures how well a building element, such as a wall, floor, or ceiling, blocks sound from passing between spaces. It is expressed as a single-number rating based on laboratory testing. Although the scale is technically open-ended, most assemblies fall within a range of 20-70.

For context, lightweight interior partitions or single-pane windows will generally achieve an STC of 20 or 30 which allows normal speech to easily be heard and understood on the other side. Assemblies in the mid-range, around STC 35 to 45, provide better sound control but still allow speech and other noises to remain audible. This is often the case with code-minimum multifamily walls or economy-grade doors. Once an assembly achieves STC 50 to 60, sound control is considered adequate for residential separation, with loud speech no longer intelligible and most normal noise effectively blocked. High-performance designs, typically STC 65 and above, are used in demanding environments such as theaters and recording studios where nearly all airborne speech and high-level noise must be eliminated.

In healthcare facilities, STC ratings are critical and generally at or above 50 for maintaining privacy and reducing cross-room disturbances. In patient rooms, consultation spaces, and staff offices, high STC ratings are essential not only for meeting HIPAA requirements but also for creating an environment where patients feel secure sharing sensitive information. Without appropriate STC-rated assemblies, conversations about diagnoses and treatments may be overheard.

For architects, there are several challenges to ensuring adequate STC ratings for wall, ceiling, and floor assemblies. STC ratings are measured under laboratory conditions, but in the field, performance can be compromised if assemblies are not properly designed or installed. 

One of the most common weak points in healthcare acoustic design is the plenum—the open cavity above a suspended ceiling that houses ductwork, wiring, and other services. When partitions stop at the suspended ceiling rather than extending to the structural deck above, sound can travel through the plenum and bypass the wall entirely. This “flanking path” drastically reduces the effective STC rating of the assembly, undermining privacy and noise control. In practice, this means that a wall tested in a lab at STC 50 may perform more like STC 30 in the field if its sound finds an easy path through the plenum.

The most reliable strategy for controlling flanking paths is to design continuous noise-dampening partitions that extend above to the structural deck. This creates a sealed barrier to prevent sound from traveling over the top of a wall and into the next space. Where full-height walls are not possible due to mechanical constraints, designers can specify plenum barriers or sound-attenuating panels installed above the ceiling that block sound while still allowing access for building systems.

Extending walls to the deck, sealing penetrations, and integrating absorptive ceiling materials are all necessary steps for achieving the desired level of acoustic control. Without these details, the benefits of high-performance materials can be lost to flanking paths and installation shortcuts.

Architects should feel comfortable researching the NRC and STC ratings of building materials to ensure their design will satisfy acoustic control requirements. Stone wool ceiling systems play a pivotal role in achieving both objectives. By absorbing noise, they prevent conversations from carrying into unintended areas while also improving the clarity of speech within a given room. The result is an environment that respects patient confidentiality, fosters trust, and enhances clinical efficiency. Patients feel safer sharing sensitive information, staff can work without distraction, and the overall care experience is elevated.

 

Stone Wool Supporting IAQ

Poor indoor air quality poses serious risks in healthcare environments, where patients, staff, and visitors are highly vulnerable. Volatile organic compounds, mold, and mildew can trigger respiratory problems, allergic reactions, and undermine infection control protocols. Even low levels of contaminants may impact recovery times and staff performance. For architects and designers, choosing interior finishes becomes critical. Ceilings, walls, and flooring must not only endure heavy use but also actively support clean, safe air to protect health and instill confidence.

Mold, Mildew, and Microbial Challenges

Stone wool’s nonorganic composition supports healthcare and high-humidity environments because it does not foster mold, mildew, or microbial growth.

Mold and mildew need moisture, an organic food source, and the right temperature conditions to thrive. When these elements align, mold can spread rapidly, releasing spores into the air and compromising indoor air quality. Building materials, particularly ceiling systems, often rely on organic content as substrate, and when exposed to humid conditions, can promote mold growth. Mold spores can trigger allergic reactions, asthma attacks, and respiratory irritation, leading to coughing, wheezing, and shortness of breath. Certain species produce mycotoxins that can further aggravate respiratory conditions or cause systemic effects in immunocompromised individuals.

Microbial growth is a broader term that encompasses not just fungi like mold and mildew, but also bacteria, viruses, and other microorganisms that can multiply under favorable conditions. In a building context, microbial growth could include bacterial colonies on damp surfaces, biofilms inside HVAC systems, or fungal spores. In hospitals, clinics, and laboratories, microbial growth on surfaces is an infection control risk that must be addressed. Stone wool deters microbial growth through its unique material properties. Volcanic rock provides no organic nutrients, and the moisture-resistant structure ensures it does not absorb or retain water, both key requirements to prevent microbial growth.

Dimensional Stability and IAQ

In addition to resisting microbial growth, stone wool provides a hygienic, low-maintenance solution for healthcare facilities. Stone wool ceilings are smooth and able to be cleaned and disinfected. Compatibility with common hospital-grade disinfectants allows facilities staff to follow stringent cleaning protocols without degrading the product’s surface or performance.

A further advantage is stone wool’s dimensional stability and resistance to sagging. In humid environments, traditional ceiling tiles can warp or release particulate matter, contributing to indoor air quality concerns and ongoing maintenance costs. When ceiling panels sag, small fissures and gaps are created that can be difficult to clean and promote microbial growth. Together, stone wool’s density and non-hygroscopic composition help ensure ceiling retain their integrity over time even in areas with high relative humidity. For healthcare facilities, this performance is particularly relevant in regions with warm, humid climates or in building zones where moisture levels fluctuate, such as laboratories, kitchens, or patient showers.

Low VOC

From an environmental health perspective, stone wool ceilings also contribute to improved IAQ by being low-VOC. Volatile organic compounds, or VOCs, are chemicals that off-gas from many interior finishes and furnishings, contributing to poor IAQ. These emissions have been linked to respiratory irritation, headaches, and long-term health effects, making them an important consideration for architects designing spaces that prioritize occupant health. Stone wool ceiling tiles are manufactured with low-VOC formulations and validated by third-party certifications, offering designers clear documentation of compliance with IAQ standards.
Third-party certification programs such as GREENGUARD Gold, Declare, or similar IAQ-focused labels are increasingly used by project teams to substantiate material claims. These certifications confirm compliance with established emission thresholds, supporting architects in meeting client expectations for health-focused building performance. In hospitals, schools, and office environments, such certifications align with regulatory requirements and voluntary building standards, reducing the risk of noncompliance during commissioning or post-occupancy evaluation.

For architects and owners pursuing LEED, WELL, or other green building certifications, the verified IAQ benefits of stone wool ceilings simplify documentation and strengthen the overall sustainability profile of the project. Stone wool ceilings align with multiple credits in LEED v4.1 and WELL v2, providing architects with tangible pathways to certification. Under LEED, contributions include low-emitting materials credits (indoor environmental quality), durability management strategies, and potential waste reduction through longer product lifespan. In WELL, contributions align with Air and Materials concepts, particularly in reducing VOC emissions, minimizing exposure to hazardous chemicals, and ensuring surfaces support cleaning and sanitation protocols.

 

Stone Wool Supporting FGI Guidelines

The Facility Guidelines Institute (FGI) plays a central role in shaping modern healthcare environments. As a nonprofit organization, FGI publishes guidelines that serve as the recognized gold standard for the planning, construction, and renovation of hospitals, outpatient centers, and other healthcare spaces. These guidelines are updated regularly, incorporating advances in medical technologies, shifts in patient care models, and evolving best practices in building performance. For architects and designers, the FGI Guidelines provide not only a reference but also a mandate to ensure that facilities achieve the highest possible standards of safety, efficiency, and quality.

The guidelines establish a structured framework that ensures decisions about materials and assemblies are tied directly to patient outcomes. By setting minimum expectations for specific design considerations, they give design professionals a clear path toward creating spaces that safeguard both patients and staff.

The FGI Guidelines establish a rigorous, evidence-based framework for healthcare facility design, with ceiling systems playing a surprisingly central role. Acoustics, cleanability, infection control, fire safety, and mechanical integration are all addressed, highlighting how ceilings shape both patient outcomes and staff effectiveness.

  • Sound control: The FGI Guidelines require acoustic surfaces in all normally occupied hospital and outpatient spaces. Because walls and floors must be durable and easy to disinfect, they often cannot provide adequate sound absorption. Ceilings therefore, play the primary role in reducing noise and supporting clear communication.
  • Cleanability: Ceilings in operating rooms, surgical suites, and isolation areas must withstand frequent cleaning with hospital-grade disinfectants. The guidelines specify that surfaces should not create ledges or crevices where dust or debris could accumulate. Smooth, cleanable materials are preferred to make disinfection effective and reliable.
  • Infection control: In high-risk areas, ceilings must resist mold and mildew and support asepsis for immunocompromised patients. Materials need to prevent microbial colonization even in humid or demanding conditions. Without these safeguards, facilities face higher risks of hospital-acquired infections and delayed recovery.
  • Fire safety: Ceilings must comply with life safety codes, achieving tested fire resistance ratings appropriate to the space. This requires non-combustible materials, proper installation, and assemblies that limit flame and smoke spread. Together, these measures help ceilings serve as an active part of a building’s fire protection strategy.
  • Mechanical integration: Ceilings must accommodate HVAC ducts, lighting, sprinklers, and medical gas systems without reducing performance. They need to allow easy access for inspection and maintenance while preventing gaps that could harbor contaminants. Materials should be lightweight for handling yet durable enough to endure repeated use.

Ceilings in healthcare facilities are far more than just an architectural finish. They are functional elements that influence infection control, safety, and the overall patient experience. Without ceilings, then ducts, pipes, conduits, and wiring would be exposed to occupied spaces, creating conditions that are both impractical to clean and potentially unsafe. The FGI Guidelines make this point explicit in that ceilings are required in nearly all occupied areas of a healthcare facility, with exceptions only for mechanical and utility rooms.

By enclosing the building’s systems, ceilings provide a hygienic barrier to conceal mechanical runs yet provide for maintenance, striking a delicate balance between performance and serviceability.

Image © 2022 Zvonkovic Photography, courtesy of Perkins&Will

Ceilings in healthcare facilities are far more than just an architectural finish. They are functional elements that influence infection control, safety, and the overall patient experience.

 

Design Flexibility and Ceiling Integration

As noted in the FGI Guidelines, ceiling systems in healthcare facilities are not isolated design elements but must coordinate seamlessly with a wide array of building components. Ceilings must play nicely with everything from sprinklers and lighting to HVAC and medical gas systems. This integration ensures that safety, performance, and aesthetics all align with the functional demands of healthcare environments. Stone wool ceiling tiles support this role effectively, offering both technical performance and design adaptability.

Lighting is one of the most visible aspects of ceiling integration. Whether recessed, surface-mounted, or integrated into ceiling panels, lighting fixtures must maintain acoustic and fire ratings without creating voids that compromise performance. Stone wool panels are engineered to coordinate with these systems, ensuring that penetrations and openings do not undermine safety or durability. Equally important, the wide variety of panel sizes and edge designs available allows designers to incorporate lighting in creative ways, balancing functional illumination with architectural intent. In waiting areas and public corridors, where lighting sets the tone for patient comfort, this flexibility ensures ceilings contribute to a welcoming atmosphere.

HVAC integration presents a different set of challenges. Air diffusers and returns must be carefully coordinated with ceiling systems to ensure efficient airflow while preserving cleanability and acoustics. Poorly designed integrations can create turbulence, dust accumulation, or noise, which undermines patient comfort and infection control. The dimensional stability of stone wool tiles equates to greater integrity even as HVAC systems cycle on and off over years of use.

Sprinkler systems add another layer of coordination. Ceilings must allow unobstructed water distribution during a fire event, while still maintaining visual consistency. The compatibility of stone wool ceiling tiles with sprinkler heads provides architects with assurance that fire safety and aesthetics can work hand in hand. Unlike materials that may sag, distort, or discolor when exposed to humidity or minor leaks, stone wool maintains its shape, ensuring ceiling performance is not compromised before or after sprinkler activation. This inherent stability reinforces compliance with life safety codes while reducing long-term maintenance needs.

Medical gas and specialty systems are unique to healthcare and demand precision in ceiling integration. Outlets and panels that deliver oxygen, suction, or compressed air must be accessible while remaining securely housed within hygienic finishes. Stone wool’s strength and dimensional stability ensure that cutouts for these systems do not degrade, preventing contamination risks in critical care environments. For sensitive spaces like surgical suites or intensive care units, this reliability is a key factor in meeting regulatory and patient safety standards.

Image © 2022 Zvonkovic Photography; courtesy of Perkins&Will

Acoustical treatments need to extend to areas beyond recovery areas. Reducing unwanted noise from waiting areas supports a healthy space for staff, patients, and visitors.

 

Beyond integration, design flexibility is increasingly recognized as a necessary design strategy. Healthcare facilities undergo frequent renovations as medical technologies advance, patient demographics change, and operational models evolve. A ceiling system that can adapt to new layouts without needing full replacement conserves both resources and labor. Stone wool tiles, available in a broad range of sizes, colors, and finishes, can be reconfigured to support new equipment or lighting plans while still maintaining their acoustic and microbial resistance properties. This adaptability reduces waste and extends product lifespans, lowering embodied carbon over decades of use.

Myth Versus Reality

Even with growing awareness of the importance of acoustics in healthcare design, certain misconceptions persist. These myths can discourage architects from fully leveraging high-performance ceiling systems. The following clarifies common misunderstandings, highlighting how stone wool ceilings support both performance and design freedom.

Myth: Acoustical ceilings limit design freedom.
Reality: Modern acoustical ceilings are available in a wide variety of sizes, colors, edge profiles, and modular formats. Stone wool tiles in particular can be specified for monolithic looks, creative patterns, or integrated with lighting and mechanical systems without compromising performance. This flexibility allows designers to achieve visual intent while still meeting stringent acoustic, fire safety, and hygienic requirements.

Myth: High-performance ceilings are difficult to install or coordinate with building systems.
Reality: Stone wool ceiling panels are dimensionally stable, lightweight, and easy to handle, making them straightforward for contractors to cut, fit, and install. Their compatibility with lighting, sprinklers, and HVAC systems reduces the risk of field modifications that could compromise acoustic or fire ratings. They contribute to efficient installations that lower labor time and costs while supporting long-term reliability.

Myth: Hygienic finishes always look sterile or utilitarian.
Reality: While early generations of healthcare ceilings prioritized function over aesthetics, today’s stone wool panels combine smooth, cleanable surfaces with attractive finishes. Designers can choose from a range of colors and textures that create calming, hospitality-like environments. This helps reduce patient stress and improves overall experience without sacrificing durability or infection control.

Myth: Acoustic performance comes at the expense of other critical requirements.
Reality: Stone wool ceilings achieve a balance of properties—fire resistance, low VOC emissions, microbial resistance, and dimensional stability—without relying on chemical additives. They deliver high noise reduction coefficients (NRC) while supporting sustainability goals and regulatory compliance. This combination ensures that performance in one area does not mean compromise in another.

Myth: Durable ceilings cannot be sustainable.
Reality: Adaptable ceiling systems can be reconfigured during renovations rather than discarded, reducing waste and embodied carbon. Stone wool tiles maintain their performance across decades of use, lowering the frequency of replacement. Stone wool’s recyclability further supports institutional climate action and sustainability initiatives.

By dispelling these myths, it becomes clear that modern acoustic ceilings are not a barrier to design but an enabler that offers architects the freedom to meet functional requirements while creating healthcare spaces that feel safe, welcoming, and sustainable.

 

Premier Gastroenterology Associates

In Little Rock, Arkansas, a physician-owned gastroenterology practice undertook the transformation of a long-vacant retail space into a modern healthcare facility. The project encompassed more than 100,000 square feet and included clinical, surgical, and administrative functions. The challenge was to convert a building originally designed for consumer retail into a space that met stringent healthcare requirements while offering a welcoming environment for patients facing stressful procedures.

A major priority was creating a facility that balanced technical performance with patient comfort. Ceilings played a central role in this effort. The design team needed a solution that could deliver acoustic control, infection resistance, and fire safety while supporting the visual character of the new facility. Because the project included procedure rooms, recovery areas, and waiting spaces, ceilings had to be adaptable to different performance requirements while presenting a cohesive look throughout the facility.

In procedure and recovery areas, sound absorption was critical to ensuring privacy and reducing stress. Patients benefit from a calmer environment, while staff can communicate effectively without distraction. In lobbies and corridors, acoustic ceilings reduced ambient noise, improving wayfinding and creating a more pleasant experience for visitors. The ceiling systems also provided smooth, cleanable surfaces that withstand routine disinfection.

Durability was another key concern. A converted retail building presented challenges in adapting mechanical, plumbing, and fire protection systems to healthcare uses. The ceiling solution had to integrate seamlessly with these systems without compromising performance. By selecting materials resistant to sagging, microbial growth, and chemical exposure, the project team ensured long-term resilience and reduced the need for frequent maintenance or replacement. This not only lowered operating costs but also aligned with sustainability goals by minimizing material waste over the building’s lifecycle.

The design outcome demonstrates that performance and aesthetics are not mutually exclusive. The ceiling systems offered a range of finishes and formats that allowed the architects to achieve a professional, patient-centered appearance.

Today, the gastroenterology practice occupies a facility that is as functional as it is welcoming. Staff benefit from acoustically balanced spaces that support efficiency, while patients experience a calmer, more comfortable atmosphere during treatment. By prioritizing ceiling performance as part of the overall design strategy, the project successfully converted a challenging structure into a modern healthcare environment that supports safety, durability, and human well-being.

 

Tarzana Medical Center

In Tarzana, California, a major expansion project redefined an established hospital campus with the addition of the Friese Family Tower. This five-story, 200,000-square-foot patient facility was designed to meet growing community needs while incorporating modern healthcare design standards. The new tower expanded capacity for emergency, surgical, and inpatient services and also serves as a symbol of renewal for the medical center.

From the outset, the project team recognized that the facility needed to balance advanced medical technology with an environment that supports healing. California’s stringent seismic requirements introduced an additional layer of complexity. Ceilings had to meet not only performance standards for acoustics and fire resistance but also rigorous seismic criteria to ensure safety in the event of an earthquake. The solution needed to provide structural integrity while maintaining accessibility for mechanical systems such as HVAC, lighting, sprinklers, and medical gas lines.

They incorporated ceilings with high sound absorption values in patient rooms, waiting areas, and corridors to address acoustics. This reduced background noise, improved speech intelligibility, and supported patient recovery by fostering a calmer environment. Infection control was another priority: smooth, non-porous ceiling surfaces withstand regular cleaning with hospital-grade disinfectants and resist microbial growth. These features ensured compliance with healthcare standards while reducing the risk of hospital-acquired infections.

The design team also recognized the importance of aesthetics in shaping patient and visitor experiences. Ceilings provided opportunities to soften the atmosphere of what might otherwise feel like an institutional setting. Through thoughtful selection of colors, textures, and formats, the design achieved a look that is professional, calming, and reflective of the community’s aspirations for modern healthcare.

The result is a state-of-the-art medical tower that combines safety, performance, and human-centered design. Patients and families encounter spaces that feel both secure and welcoming, while staff benefit from functional environments that support efficiency and well-being. By treating ceilings as a vital design element rather than an afterthought, the project illustrates how material choices can elevate the quality of healthcare spaces and ensure resilience for the future.

 

Stone Wool and Sustainability

Beyond energy efficiency, the modern definition of sustainability incorporates everything from the lifecycle analysis of a product to durability and occupant well-being. Healthy buildings and sustainability go hand in hand. Specifying building materials to support sustainability goals means examining more than simply recycled content percentages.

Stone wool inherently delivers fire resistance, microbial resistance, and durability without relying on chemical fire retardants or antimicrobial additives. Many other ceiling products may use these chemicals to meet performance standards, but they can introduce risks such as off-gassing, exposure during use, and disposal challenges. By achieving safety and performance through its mineral composition, stone wool avoids these issues and supports a healthy, sustainable approach to building materials.

The durability of stone wool also contributes to sustainability outcomes by extending product life and reducing the frequency of replacement. A ceiling system that resists sagging, microbial damage, and chemical wear maintains performance for decades, decreasing the demand for new materials and lowering lifecycle impacts. In the context of healthcare facilities, where renovations are both costly and disruptive, long-term durability supports financial and operational sustainability. From a design perspective, durability also enhances resilience, ensuring that ceiling systems continue to perform even under stressors like high humidity, exposure to cleaning agents, or unexpected water events.
The avoidance of chemical fire retardants and antimicrobials also has implications for end-of-life disposal. Construction and demolition waste is a major contributor to landfill volumes. In some regions, stone wool can be recycled back into the manufacturing process, further reducing its lifecycle impacts. By eliminating unnecessary chemical treatments, stone wool ensures that the benefits delivered during use are not offset by environmental burdens at disposal.

 

Conclusion

Acoustic control is a defining factor in creating healthcare environments that truly support healing. Excess noise can elevate stress, interfere with communication, and compromise patient recovery, while well-designed acoustic ceilings help maintain privacy, reduce distractions, and foster calm. Stone wool ceilings provide high sound absorption without sacrificing durability, cleanability, or fire resistance, ensuring that performance is achieved across multiple dimensions. Stone wool’s resistance to mold and bacteria further enhances indoor air quality, while a wide variety of sizes, colors, and finishes allows design flexibility. By combining acoustic excellence with hygienic surfaces and long-term resilience, stone wool ceilings enable architects to design healthcare spaces that protect health, promote comfort, and enhance the well-being of everyone, from patients and staff to visitors.

 

ENDNOTES

1https://iris.who.int/bitstream/handle/10665/279952/9789289053563-eng.pdf?sequence=1

2https://www.scielo.br/j/codas/a/ghVHnYG5hVgFQmrKmbdz6Yk/?format=html&lang=en

 

 

Andrew A. Hunt is Vice President of Confluence Communications and specializes in writing, design, and production of articles and presentations related to sustainable design in the built environment. In addition to instructional design, writing, and project management, Andrew is an accomplished musician and voice-over actor, providing score and narration for both the entertainment and education arenas. www.confluencec.com; www.linkedin.com/in/andrew-a-hunt-91b747/

 

 

Originally published in Architectural Record

Originally published in November 2025

LEARNING OBJECTIVES
  1. Explain challenges facing healthcare design and the need to update the material selection approach to achieve healthy, occupant-centric solutions. 
  2. Describe how stone wool is made and evaluate comparisons between this material and other soundinsulating solutions available today.
  3. Define and apply how industry standard ratings, such as Noise Reduction Coefficient (NRC) and Sound Transmission Class (STC), as well as FGI Guidelines, can be used to improve occupant health and well-being in healthcare environments.
  4. Discuss how the inherent qualities of stone wool ceilings support design flexibility, system integration, sustainability, fire safety, and long-term stability in healthcare facilities.