I have an N4 installed with Ipod, Bluetooth, USB, HD stereo, rear camera, satellite and rear screens for the kids and never has the quality been anything but excellent.
The only issue I ever had was with the first rear view camera, after the first rain it got water in it. Had it replaced with a unit advertised as waterproof and not an issue since.
The N4 is quite a nice device and I would be highly suspicious of the installer if you have been through 3 devices.