Background: This study was undertaken in an organisation providing independent living villages, a range of community care and residential aged care services across New South Wales and the Australian Capital Territory. The study is part of their Dementia Action Plan that was developed in response to the Australian National Dementia Action Plan. Aim: To examine how cognitive health and dementia recognition are documented, specifically identifying patterns and variations in terminology used in e-Health records. Methods: De-identified diagnostic data were collected from the e-Health records of 1,314 older people across 12 care homes. Terms, phrases and descriptions used to document cognitive health and dementia were analysed using qualitative content analysis and inductive coding to capture trends. Three researchers independently coded the data and NVivo was used to store and manage the data. Results: In total, 143 unique terms and phrases related to cognitive health and dementia were identified, often terms were used more than once per person yielding 1,301 total cognitive health and dementia related entries. There was a wide range of formal terms, descriptive phrases, abbreviations and references to cognitive assessment tools. Conclusion and Implications: This is one of only a few studies that analysed the way in which cognitive health and dementia recognition is recorded within long-term care e-Health records. These findings highlighted the need for standardised approaches to cognitive health and dementia recognition. The aged care provider launched an education programme for RNs to implement regular and consistent monitoring of cognitive health and dementia recognition across their services.