Muscle versus fat. BMI cannot tell muscle from fat, because it only uses weight and height. A strength athlete with a lot of muscle can land in the overweight range with low body fat, while a person with little muscle can sit in the healthy range with a higher share of body fat than is ideal.
Where fat is carried. Fat around the waist is linked with higher health risk than fat carried on the hips and thighs. Two people with the same BMI can carry their weight very differently, and BMI sees none of that. Waist size adds information that BMI misses.
Age, sex and build. Body composition changes with age, and older adults naturally carry less muscle. Women naturally carry a higher share of body fat than men at the same BMI. Frame size and bone density vary too. The single adult scale treats all of these bodies as if they were the same.
Special situations. The adult ranges do not apply during pregnancy. They also do not apply to children and teenagers, whose BMI is read as a percentile for their age and sex instead. Illness, medication and recovery from injury can all move weight in ways the ranges were never designed to judge.