(Iowa Capital Dispatch) – A nurse who allegedly failed to suction the airway of a U.S. Army veteran in an Iowa nursing home has been criminally charged in the man’s death. 69-year-old Becky Sue Manning, of Lake View, is charged with felony wanton neglect of a health care facility resident. According to prosecutors, Manning, a licensed practical nurse, refused repeated requests to provide physician-ordered care for a resident of the Fonda Specialty Care nursing home while working there in 2023 as an employee of the GrapeTree Medical Staffing temp agency. Manning has yet to enter a plea in the case. She was arrested Thursday and released from jail on Friday on a $10,000 bond.

According to state inspection records, 87-year-old Marvin “Pete” Jacobs, died Feb. 19, 2023, while sitting in his room at Fonda Specialty Care. Jacobs had undergone a tracheostomy, and because his airway tended to become clogged, the staff kept a suctioning machine by his bedside. On that afternoon, an aide later told inspectors, Jacobs was sitting in his recliner when another worker said Jacobs appeared to be “in trouble” and instructed her to get a nurse right away. Jacobs was pointing at his neck, gasping for air, and mouthing that he could not breathe, the aide told inspectors.

Manning reportedly acknowledged to inspectors that her fellow workers had each told her Jacobs needed his airway suctioned and that he had been pointing to his neck and mouthing that he couldn’t breathe. According to the inspectors, she allegedly said that despite her colleagues’ comments, it never occurred to her to suction Jacobs’ airway.

Pocahontas County prosecutors allege that no fewer than four workers asked Manning to suction Jacobs’ airway and that the staff had alerted Manning to the fact that Jacobs was asking to be suctioned and that, in their professional opinion, he needed to be suctioned right away. Prosecutors also allege Manning prevented the staff from calling 911 when it became apparent Jacobs couldn’t breathe. The Iowa Department of Inspections and Appeals fined Fonda Specialty Care $10,000 for the death, then reduced that penalty 35%, to $6,500, due to the lack of an appeal in the case.

In its written response to DIA’s findings, the facility’s owners, Care Initiatives of West Des Moines, said it does not admit to any statements, findings or conclusions by the state inspectors and added that it “will continue to provide care and services” for respiratory patients, including airway suctioning.

Jacobs grew up in northwest Iowa, was the varsity catcher of the 1953 Auburn Tigers state baseball championship team, and a 1954 graduate of Auburn High School. From 1955 to 1957, he served in the U.S. Army while stationed in Korea. After his discharge, he and his wife, Darlene, raised three sons in northwest Iowa. Over the years, he worked as a farmer and served as a partner and owner of the Mill City Loader Corporation.