Is that a Node specific problem though? I have elixir packages up on Hex that I haven't maintained or looked at in years. In fact, I'm pretty sure they are buggy but since no one is using them I'm not worried about it.
There are packages on Hex that haven't been updated in a long time but still work perfectly (Canada, for example: https://github.com/jarednorman/canada). Elixir itself doesn't change much... in fact there's no plans for a 2.0 on the horizon, so the fact that packages don't change often isn't a big deal if they still do what they say they do and aren't hurting for more features.