In this article, we prove that a complete Noetherian local domain of mixed characteristic $p>0$ with perfect residue field has an integral extension that is an integrally closed, almost Cohen–Macaulay domain such that the Frobenius map is surjective modulo p. This result is seen as a mixed characteristic analog of the fact that the perfect closure of a complete local domain in positive characteristic is almost Cohen–Macaulay. To this aim, we carry out a detailed study of decompletion of perfectoid rings and establish the Witt-perfect (decompleted) version of André’s perfectoid Abhyankar’s lemma and Riemann’s extension theorem.