The owner, Louis DeNaples, was later charged with perjury due to suspected ties with organized crime figures.

[7] On March 29, 2019, Mount Airy Casino Resort applied for a sports betting license.

[9] On September 9, 2019, Mount Airy Casino Resort held a soft launch for its retail sportsbook, with a two-day testing period; the full launch occurred on September 11, 2019.

The 7,000-square-foot (650 m2) sportsbook at the casino is located next to the poker room and has teller windows, four self-betting kiosks, and several televisions.

[11] In July 2020, Mount Airy Casino resort received a $50 million dollar loan from the U.S. Federal Reserve as part of the Main Street Lending Program.