Hi Matt!
It may be the BB grub screws are not (or were not) set tightly enough to hold the eccentric in place.
Or, it could be the eccentric has become scarred from past movement or too-close adjustment and the is no longer enough material for the grub screws to secure properly. I think I'd be inclined to pull the crankarms, remove the eccentric, and have a look.
A 15mm wrench will fit the grub-screw heads.
Alternatively, you could just invert the bike, remove the screws, and have a look down the holes to see what's going on in there.
In any case, the eccentric doesn't seem to be secured properly.
Best,
Dan.