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I vote for the local place. If she's above 100 pounds, in my humble opinion, I'd go for the place who'll work with her therapuetically to see if they can get her back on track with her eating prior to force feeding with a tube. I think you can all adjust to you not being there with her daily and seeing her thru scheduled visitations. Pluss, the cost issue won't be as stressful which wouldn't help anyone's frame of mind to have that on top of everything else. Primarily though, rehab of most types are much more successful if family members and friends are not there on a daily basis.