It can be that your back needs shimming or that the camera's mirror doesn't operate as it should, thus forcing you to focus wrong... Those things are not easy to solve through web... They are simple to find the reason behind the issue, but it needs to follow a step by step procedure as to eliminate each part... My testing sequence would be: 1. To check my back's shimming, 2. To check my VF's operation as if there is misalignment between it and the image area positioning, 3. To then check my adapter's compatibility with the above and last to check for lens issues... Just my two cents...
You can eliminate No 1 from above if you use a Pentax since it is assumed to have the image sensor factory calibrated with the camera (but you never know until you check that too...).