Elderspeak (infantilizing communication) is a common form of ageism that has been linked to resistiveness to care in nursing home residents with dementia. Nursing home staff use elderspeak by modifying speech with older residents based on negative stereotypes, which results in patronizing communication that provides a message of incompetence. The purpose of this secondary analysis is to describe communication practices used by nursing home staff that reflect ageism. Transcripts of 80 video recordings of staff-resident communication collected during nursing home care activities were reanalyzed to identify specific elderspeak patterns, including diminutives, collective pronouns, tag questions, and reflectives. Nursing home staff used elderspeak in 84% of the transcripts during bathing, dressing, oral care, and other activities. Collective pronoun substitution occurred most frequently in 69% of the recorded conversations. Subgroup analysis of the inappropriate terms of endearment found that honey/hon and sweetheart/sweetie were most commonly used.