The pdf is free - certainly an unbeatable price. I'm glad to see this piece reprinted. For one thing it was my first pro sale, since it took second place in the Chiaroscuro short story contest and was bought by them as a result. For another, I simply like it - it draws on an issue that has been coming up in my family over the past few years, whether or not my grandmother should move into a nursing home or not. It's a move that she's resisting bitterly, and I think part of her motivation in that is a fear she'll meet the same fate as the grandmother in the story.
Is it fantasy or literary? I think it shares elements of both, and is a decent example of how a story can straddle that particular line. To my mind, it could appear in a magazine featuring either kind of writing -- as could a lot of the excellent spec-fic I've seen, despite a certain weird anti-snobbery thing that I see on occasion, where editors declare that knowing someone has an MA in writing is something that makes them less likely to read their stories. I'm not sure where that attitude is coming from, but given the hostility academics sometimes show towards genre fiction, I suppose it's understandable.