Staff at three aged care facilities have allegedly slapped residents, hit one in the face with a water bottle and sexually assaulted another.
Twenty incidents of alleged physical and sexual abuse at the three facilities have been reported by Japara Healthcare to the federal health department over the past three years.
Counsel assisting the aged care royal commission Brooke Hutchins said the alleged physical assaults included a staff member throwing a call bell at a resident and an employee hitting a resident in the face with a water bottle.
Ms Hutchins said there were a number of cases of staff slapping residents on the face.
She said one resident was slapped when a staff member was putting large spoons of food in their mouth, which was already full. The resident did not want any more food.