First thing I'd check is to make sure the mag follower is free to pivot both forward and back. Sometimes when the pivot pin gets stiff with gunk and the follower can't pivot freely the last round can be held at a bad angle and the last round feed off the mag lips into the chamber doesn't go off smoothly. A stuck follower could also theoretically cause the bolt hold open tab to sit proud just a little bit on the last round and that might interfere with the last round loading as well.
If it's not something that easy, the next step is probably going to be to take a closer look at the mag, especially the feed lips to see if something is bent, out of line of if there's a weak spring.