The rooms are pretty spacious and the bathrooms are also pretty big and include both a shower stall and tub. I've stayed with my parents in the hotel once a year the past 5 years or so.
I've eaten at Choices, Pala's buffet, and the food there is pretty good.
The casino's food court has a decent selection of restaurants. If gambling is your thing, particularly slots, there are a lot of machines here and a decent-sized non-smoking section. I go there about once or twice a year whenever I visit family and friends in San Diego and I've always found it to be a pleasant experience. I've been going to Pala Casino on and off since it first opened in 2001.