Summary: Frequently in process monitoring, situations arise in which the order that events occur cannot be distinguished, motivating the need to accommodate multiple observations occurring at the same time, or concurrent observations. The risk-adjusted Bernoulli cumulative sum (CUSUM) control chart can be used to monitor the rate of an adverse event by fitting a risk-adjustment model, followed by a likelihood ratio-based scoring method that produces a statistic that can be monitored. In our paper, we develop a risk-adjusted Bernoulli CUSUM control chart for concurrent observations. Furthermore, we adopt a novel approach that uses a combined mixture model and kernel density estimation approach in order to perform risk-adjustment with regard to spatial location. Our proposed method allows for monitoring binary outcomes through time with multiple observations at each time point, where the chart is spatially adjusted for each Bernoulli observation’s estimated probability of the adverse event. A simulation study is presented to assess the performance of the proposed monitoring scheme. We apply our method using data from Wayne County, Michigan between 2005 and 2014 to monitor the rate of foreclosure as a percentage of all housing transactions.