Requires establishment of minimum staff-to-resident ratios in veterans' memorial homes.

New Jersey Assembly Bill A4181 requires the Division of Veterans' Healthcare Services to establish minimum direct care staff-to-resident ratios for state veterans' memorial homes, based on resident acuity and facility size. Each veterans' home must maintain these ratios, which the division must review and adjust at least quarterly. The bill defines "direct care staff" as registered nurses, licensed practical nurses, and certified nurse aides. It does not override existing staffing requirements from the Department of Health or federal agencies for non-direct care staff, nor does it prevent homes from hiring more staff than the minimum. This law applies specifically to state-operated veterans' homes and takes effect four months after enactment.