Despite its prevalence, cognitive impairment may not be readily detected in post-stroke patients, ultimately having negative consequences on the recovery process. In this quality improvement initiative, we strive to examine the extent to which healthcare providers can detect cognitive impairment in individuals recovering from ischemic and hemorrhagic strokes, with the goal of improving treatment, referrals, and care. We hypothesized that outpatient healthcare providers under-recognize the level of cognitive impairment in patients with a history of stroke. During the summer, 77 patients were recruited from the Neurology Clinic in the Perelman Center of Advanced Medicine, and both objective and subjective measures of cognitive impairment were administered. We found that cognitive screening tools like the Montreal Cognitive Assessment and Cognitive Change Index can detect mild and moderate cognitive impairment, which currently goes undetected by providers.