Oh, this is the tallest building in Nevada, you say? Well that's depressing.
I can't comment on the hotel rooms but the casino floor is quite so-so. It feels very dated (like the mid 90's) and needs some upgrades. I laughed when I saw the C Bar, in the center of the casino floor, advertised that happy hour is 24-7. So they're basically saying there's no happy hour. Right.
I had wanted to see the attractions at the top of the building but it just never happened. Most of the entertainment holds strange hours, so make sure you check before you go. Shopping here is whatever. It's mostly just tchotchke shops. Oh well.
The best part is free parking, but aside from that this is a very average casino in a strange no man's land part of the city. Unless you're dying to get to the top you're not missing much.