The upgrade cannot be installed by the Windows Installer service because the program to be upgraded may be missing, or the upgrade may update a different version of the program. Verify that the program to be upgraded exists on your computer and that you have the correct upgrade.

This seems to be happening on desktop OS's; servers seem to install it ok.

The patch is not detected as being needed by Windows Update.  I'm not sure what other information to provide, please let me know what else to provide if anything.   Thank you.