This doesn't seem quite right.
It's a known defect...
https://communities.bentley.com/products/road___site_design/f/geopak-inroads-mx-openroads-forum/218974/ord-10-10-01-03---profile-annotation-not-matching-the-grid/669901#669901
Matt
I'm running into the same issue. Man this is really unfortunate, finally upgraded to 2021 R1 and was excited to use this for review purposes. Oh well....